My Daughter Has Dystonia and Receives Botox Every 3 Months. She is Pregnant, is the Botox Safe?

Doctor Answers 5

The simple answer is we just don't know.

We do not do cosmetic botulinum toxin treatments on pregnant women.  However the decision to use the agent for medical reasons during pregnancy must be carefully weighed given the lack of scientific information, the reason why treatment is being performed, and what has been a low incidence of complications in the small number of women in this situation who have been treated.  Specifically the risk of side effects is also weighed against the know risk of other treatments as well.  For this reason she and her physician managing her dystonia have to make the best decision they can with limited information, something that is never easy.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Botox and pregnancy

Thank you for your question. I would not worry too much if she had Botox and found out she was 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 situations like hers and I do recommend that she stop any future injectable treatments until either the baby is born and after breast feeding. I would also let her 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 37 reviews

My Daughter Has Dystonia and Receives Botox Every 3 Months. She is Pregnant, is the Botox Safe?

 I'd be surprised that any MD would consider giving a pregnant woman Botox injections. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Botox and pregnancy

Botox's safety in pregnant women has not been, nor probably ever will be, tested as this would be a great risk for the companies that manufacture botulinum toxin to incur.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox and Dystonia and Pregnancy

The truth is that there's just not enough information on this topic to give you a confirmed answer. We obviously don't do this type of testing on pregnant women or fetuses, and so there's just no way to know. Your daughter and her physician need to weigh out the complications of her not receiving the injections during her pregnancy, as well as the welfare of the child and possible risks with the pregnancy.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

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