Does Botox Cause Birth Defects?

Dear Concerned,
There is no established causal relationship between Botox Cosmetic and birth defects. However, why take chances? If you are pregnant or plan on becoming pregnant, then refrain from Botox during that time. However, if you recently had Botox and then find out that you are pregnant, there really is no cause for concern. Additionally, there is no evidence that previous Botox would have any effect on future pregnancies.

There is no data to suggest that Botox has been shown (or even suspected of) causing birth defects. With that said, it is our policy not to inject Botox during pregnancy or lactation. For us, this is simply a cautionary procedure taken for all injectable and laser treatments.
Botox has been shown to have a better safety profile than the common aspirin.

BOTOX has an amazing track record for safety. However, its safety during human pregnancy is not something we are likely to ever have a definitive answer for. Animal studies do not support a conclusion that it causes birth defects. If you had BOTOX and two weeks later discovered that you were pregnant at the time of the treatment, there is absolutely no evidence that this will make any difference to your pregnancy. However we strongly advise against having cosmetic service including BOTOX if you are actively attempting to become pregnant or are pregnant. Again one case in millions of BOTOX treatment does not mean one caused the other. The incidence of birth defects from all causes is actually much higher than that. However, no responsible physician would be interested in treating a pregnant woman with BOTOX. It might be safe but who needs any additional risks. Sure, we are happy to talk to you about future services or surgery but wait until you are through your pregnancy and are done breast feeding.