I’m pregnant and the smile lines around my eyes really look bad without Botox. Are there any safe alternative procedures?

Good skin care (without Retin A, retinol or retinoids), avoiding the sun, and using vitamin C serums are all safe ways to minimize your smiles lines while pregnant. Don’t use Botox or injectable dermal fillers because there are no safety studies on their effects during pregnancy or nursing. I hope this helps.

Don’t use Botox, Dysport, or Xeomin or dermal fillers while you are pregnant. You can improve the look under your eyes with chemical peels, lasers, and fillers. Avoid retinoids and retinol. Please consult a board-certified dermatologist who can help you find noninvasive ways of helping you feel better about your skin while you enjoy this amazing time in your life.

Unfortunately, while you're pregnant and breast feeding Botox, Dysport and dermal fillers are out of your life. Perhaps a facial or microneedling might be a better option. Good luck. Dr. ALDO