Botox While Pregnant: Can it Harm my Child?

Hello! I read about the woman who got Botox five weeks after her last menstrual period. It says that you do not believe that the embryo is damaged. Now, unfortunately I took a botox syringe when I was 12 weeks and my anxiety is unbearable. My question is can my children have suffered because it had gone further in my pregnancy or the same as for the woman who took her injection at the beginning of her pregnancy. I did not know about the prohibition of botox during pregnancy. Thanks!

Doctor Answers 15

Botox and pregnancy

Although using Botox during pregnancy is contraindicated it is unlikely that your cosmetic treatment will have ill effects on the baby. Treatment is supposed to stay localized to the area injected-- if the Botox travelled to other parts of the body in any significant way it would be contraindicated for you, too! That being said, avoid any further treatments with Botox until the pregnancy and breastfeeding are over.

New York Dermatologist
3.3 out of 5 stars 10 reviews

Botox and Pregnancy

Botox is definitely something to avoid while pregnant.  That said, as a mother of 3 myself, no matter how hard we try, "mistakes" will always happen.  As mothers, we always find ways to blame ourselves for anything negative that happens to our children whether we actually caused it or not.  Stress is not good for you or the baby, so I would recommend trying to worry as little as possible and get ready for the wonderful time as a new mother you will soon enjoy!

Victoria W. Serralta, MD
Arlington Dermatologic Surgeon
5.0 out of 5 stars 1 review

Botox and pregnancy

You should absolutely stay away from Botox while pregnant or nursing. I would consult with your OB\GYN and hopefully he/she will give you some peace of mind. Botox should stay local in the area of injection and not be absorbed into your system. I would avoid putting anything into your system that is not fully necessary for health purposes and is prescribed and consented to by your OB physician. In my practice a consent form and history and physical are done prior to treatment and "Is their a possibility you may be pregnant?" is a question always asked. I would not treat any patient who answered yes to this question and would cancel the procedure until my patient was finished with the preganancy and nursing. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

Botox is pregnancy category C

According to the FDA, botox is category C. But most of the product should stay local in your forehead and not get absorbed into your system. Thta's the whole idea of the treatment. Therefore, your baby should be fine. But in the future, I would recommend not to get any cosmetic treatments while pregnant.

Gary Goldenberg, MD
New York Dermatologist

Botox While Pregnant

I would advise pregnant women not to have Botox until pregnancy and breast feeding is over. Botox works by binding to the nerve endings of muscles, blocking the release of the chemical that makes your muscles contract. If you just found out you're pregnant and have recently used Botox for cosmetic or medical reasons, such as to treat migraines or neck spasms, don't worry. It's unlikely there's any risk to your baby. But if you're deciding whether or not to get Botox while you're pregnant, I'd suggest taking the cautious route and waiting.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Botox and pregnancy

Thank you for your question. I would not worry too much if you had Botox and found out you were pregnant. Botox works locally where it was injected and the dosing is very small. The makers of Botox would never consider sponsoring a study to see the saftey of Botox during pregnancy or breast feeding as it would be too risky for them. Likewise, for physicians. I generally provide reassurance for situations like yours and I do recommend that you stop any future injectable treatments until either the baby is born or until after breast feeding. I would also let you OB know that you had a Botox treatment during pregnancy so they are aware.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Botox while pregnant

Studies have not been preformed with pregnant women. The risk are unknown. Our office policy is not to inject Botox while pregnant.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 19 reviews

Botox While Pregnant

Hi Molly.  Sorry to hear about all the anxiety this issue is creating for you.  While no one knows for sure if Botox can harm the fetus (there are no studies), Botox is normally confined to a very small area in and around the muscle to which it is injected.

While it's perfectly reasonable to have anxiety about this issue, we would try to do everything you can to come to peace with the issue for two reasons.  First you cannot go backwards and reverse the injection and second, more stress during your pregnancy will not be good for you and the baby.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Botox while pregnant

Congratulations on your pregnancy!  I'm sorry to hear that you are having so much anxiety.  My recommendation would be to consult your ob/gyn.  There haven't been any formal studies for the effects of Botox on pregnancy but is definitely not something you should do.  Please see your ob/gyn.  I'm sure he/she will be happy to answer your questions and check to make sure your baby is ok.

Dr. Cat Begovic

Catherine Huang-Begovic, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 34 reviews

Botox while pregnant

There have been no formal studies looking at Botox and it's safety in pregnancy.  However, there is one study that found that women who received botox and later found out they were pregnant had uneventful pregnancies.  Always tell a physician that you are pregnant (at whatever stage you are in) whenever receiving any treatments or medications and consult your Ob/Gyn for further reccomendations and insight into this issue.  

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon
3.9 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.