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.

Hi Concerned,
There have not been any studies showing that Botox is responsible for birth defects. The Australian article is about a single unfortunate case of a child being born deaf and blind. Its mother had received Dysport injections (a form of Botox) during her first month of pregnancy.
With the millions of women who have received Botox injections, it stands to reason that many have received treatment in the first week or two of their pregnancy before they were aware that they were pregnant. That having been said, this is exactly the reason why it is not recommended to have Botox injections when pregnant.
Birth defects unfortunately occur all too often, and even if coincidental and unrelated to Botox injections, the injections may be cited as the cause, and put the injecting physician in "hot water". It is best to avoid any elective medical procedures during pregnancy.
Enjoy the "Glow of Pregnancy" during the 9 months of pregnancy and resume Botox if desired after your child is born. Good luck and be well.
Dr. P

There are no studies on the relationship between Botox and pregnant women.  Knowing that you should not take the chance to get Botox if you think you are pregnant, are pregnant, breast feeding or trying to concieve.  

I know of no data that suggests a causal relationship of botox and birth defects.  But, I would not recommend using it if your are pregnant or are thinking about becoming pregnant.

The report indicated a possible link between Botox and birth defects.  While a link does not prove that Botox causes birth defects, the stakes are too high.   I would certainly advise against Botox for women who are pregnant, planning a pregnancy within 3-4 months, or breast feeding.