Botox for an Anal Fissure: Do I Need to Delay Conceiving?

Also, seeing as I have already had botox for the anal fissure (had to as I was in a lot of pain), would having botox now for crow's feet make any difference with regards to conceiving as the toxin is already in my body anyway?

Doctor Answers 4

Botox can be used for Crow's feet despite you having had Botox for an anal fissure

The use of Botox during pregnancy is avoided and should be if you're trying to conceive regardless of the indication.  If one is not pregnant, nor trying to conceive, then as long as the units of botox used for the anal fissure is not approaching the limit of safety, then elective cosmetic treatment of crow's feet can be done without a negative effect on the eyelid wrinkle treatment.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox during pregnancy

It is not known how Botox would affect pregnancy or the fetus if at all, because the company is absolutely right in not undertaking testing Botox for safety in pregnancy.

We all use medications in pregnant women when absolutely necessary.  We try as best we can to use pregnancy category B medications that we know are safe.

Since we have no data about Botox safety during pregnancy, I strongly recommend against using it for cosmetic procedures while you are pregnant. 

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

The Safety of Botox During Pregnancy

Use of Botox is contraindicated during pregnancy. Period. Therefore it should never be used for as an elective treatment for cosmetic purposes while you are pregnant. Regarding your statement that the Botox toxin is already in your body anyway, at this point it should not pose a risk to a future pregnancy. This is because within 20 to 90 minutes after it is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox very quickly before it can spread far from the injection site. Within a few hours after the injections the reaction is complete and there should be no risk of Botox travelling to other locations in your body in the future.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

This is a great question for the obstetrician/gynecologist who will be supervising your pregnancy.

Generally, it is not advisable to have cosmetic botox once conception has occured.  There is just no safety information on this procedure.  However, it has been used off-label for medical reasons during pregnancy.  I suspect that while its use for the anal fissure might be deemed a reasonable risk, that for the crows feet being purely cosmetic with no medically beneficial purposes will not be recommended.  It is reasonable and appropriate to minimize exposure to agents during pregnancy that could potential cause harm, even if the risks are relatively low.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 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.