Can Botox Injections Harm my Unborn Baby?

Hi Doctors, I am pregnant (10 weeks) and was also wondering whether I can have s/c injections of any kind in my face? Also how local agent like Botox, which to be injected to the forehead can harm baby? Can you provide pathophys rationale, please? It is not a challenge,I just want to know it,before commencing any of those procedures. Sorry to be a pain, but I am also a health professional and will understand and appreciate your answers.

Doctor Answers 18

Botox while pregnant

Botox is a cosmetic treatment.

Being pregnant makes you responsible for yourself and for your baby. I am sure you are aware that pregnancy carries a lot of potential problems of a biologic nature. To add a potential  problem of a cosmetic nature would not be wise.

No study can ever be done to prove statistically that Botox is safe in pregnancy, as it would be both illegal and unethical.

Even though logically, there would be no harm to the fetus, I would never inject Botox in a pregnant woman and I don't think any respectable Dr would.


Chicago Dermatologist
4.6 out of 5 stars 5 reviews

Botox and pregnancy

Great question. There is no evidence to support that botox would cause any type of damage to your unborn baby. However, there are also no studies to support that it is absolutely safe. It is best to avoid any type of elective cosmetic procedures while pregnant.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Do not get Botox while pregnant

There has not been a study done to determine if using Botox while pregnant is safe for the fetus, but I would absolutely not recommend it.  Nor do I think any licensed physician would treat you while knowing you are pregnant.  Your baby is more important right now!

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.0 out of 5 stars 7 reviews

Safety of botox during pregnancy

The safety of cosmetic injectables has not been studied.  Botox is injected locally without systemic absorption however. It is an elective procedure/ treatment and therefore most physicians would recommend not taking the risk and waiting until your pregnancy is over before receiving treatment.  Please inform your physician/ surgeon that you are in your first trimester before proceeding.  

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon
4.3 out of 5 stars 9 reviews

Absolute no no for Botox or Dysport injection during pregnancy

One should never inject Botox or Dysport during pregnancy. Even though the possibility of botulinum migration to fetus may be just theoretical, there is no published data declaring its safety during pregnancy.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Pregnancy and botox or fillers

There is no evidence on the safety of botox or fillers in pregnant women and there is no way to safely study this in pregnant women due to the potential risks.  Of course, there have been women who get treated with a neurotoxin or filler when they do not know they are pregnant, and there are no adverse reactions.  Most experienced injectors will tell you that it is unlikely to cause any adverse reaction and that lIkely, neither are absorbed at high enough levels to have an adverse effect.  HOWEVER, due to the potential risk and unknown safety, I do not know anyone who would comfortably do a cosmetic procedure on a pregnant (or even breastfeeding) patient.  It is just not worth the risk.  I read one report of a patient who received dysport during her first trimester and the baby was born blind and deaf (in Australia).  Was this the dysport?  Unlikely, but there is no way at that point... I wouldn't recommend taking a risk. 

Amy A. McClung, MD
Austin Dermatologist

Botox and Pregnancy

I will not inject a patient with Botox who is pregnant. I doubt that any Board Certified well trained surgeon would.

Michael Sullivan, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 78 reviews

Botox is not for pregnant or nursing women

WIth all procedures we weigh risks v. benefits. Although there is no specific evidence that Botox cosmetic causes fetal harm it is not recommended that this procedure be done during pregnancy or on lactating women. There may be harmful affects we don't yet know about. Be patient.

Dina D. Strachan, MD
New York Dermatologist
3.3 out of 5 stars 10 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. But I would not do Botox if you know you are 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 safety of Botox during pregnancy or breast feeding as it would be too risky for them. Likewise, for physicians. I generally provide reassurance for patients who find out after the fact that they are pregnant and I do recommend that they stop any future injectable treatments until either the baby is born and after breast feeding.

Pregnancy and botox

The safety of Botox in pregnant women has not been studied. However, notwithstanding that these are localized injections, common sense would dictate that you defer any unnecessary treatment until after giving birth. I do not treat pregnant women for any cosmetic concerns and, if surgery is required for excision of lesions that are of concern, will operate only with obstetric clearance and without the use of epinephrine and then only after the first trimester.

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.