I Didn't Know I Was Pregnant and I Had Botox

Hi there, 1 weeks ago I found out I was 12 weeks pregnant and 2 weeks ago I had botox injections on my face: around eye and forehead. I did not know I was pregnant! Can a medical professional help me to understand the consequences? I have read many the things about low birth weight and deformity's in rabbits and mice.. I'm really worried about my situation!! Thanks a lot!

Doctor Answers 12

Botox Injection During Pregnancy

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Dear Writer, I am a dermatologist and I too had my Botox injection early in my pregnancy when I did not know I was expecting. I did an extensive search on Botox and Pregnancy in humans, which my colleagues have already mentioned in their statements, and was reassured once again that my pregnancy was going to be just fine. I had my Botox injection on my sixth week of pregnancy (an even more important period in general because organ formation in the embryo happens in the first eight weeks) and today I have a beautiful and healthy five-year-old boy. Enjoy your pregnancy and Congratulations!! P.S. The amount of units of Botox injected around the eyes and in the forehead is relatively small, should stay in the area of the injection targeting the muscles of expression and, even if minimal amounts could go in the blood stream, it would be imperceptible and not able to harm your baby. Dr. Bowes

Please search this site.

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This topic has come up numerous times.  A visit with your obstetrician is strongly advised.  The animal studies are theoretical.  They may not have any bearing on humans.  The decisions are always individual.  There is a tiny study of woman who had BOTOX while being pregnant and it this small group, there were no problems with the pregnancies that went to term.  So it is recommended that you see your obstetrician to discuss the situation and have personalized recommendation in a situation where there are no definite answers.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Botox While Pregnant.

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Hi Jackye.  Because there are large scale or long term studies for the effect of Botox on a fetus, we simply do not know.  With that said, it is fairly well accepted in this community that Botox has very little chance of affecting your child.  The product does not move easily once injected into the facial muscle and therefore should not travel to the point where it would interact with the fetus, at least in any detectable way.

Most if not all practitioners will advise against cosmetic procedures such as Botox during pregnancy and breastfeeding.  As the others have stated, check in with your obstetrician if you have further concerns.  Good luck with the baby.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

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Botox during pregnancy

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Although it is recommended that Botox cosmetic be avoided during pregnancy and when a woman is breast feeding it is unlikely to affect your baby. Injection for cosmetic purposes is unlikely to have effects in other parts of the body. Nonetheless, contact your obstetrician and Allergan for more information. Congratulations! Dina Strachan, MD. NYC dermatologist. 212-627-1004

Dina D. Strachan, MD
New York Dermatologist

Botox during pregnancy

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While we do not inject women who know they are pregnant with Botox, I would not worry too much about having had the procedure while you were unaware. The purpose of Botox injections for wrinkle reduction is to deliver it directly to the muscle without it traveling through your body. It would be highly unlikely to effect the baby. Congratulations on the pregnancy!

Rosalyn George, MD
Wilmington Dermatologic Surgeon
4.4 out of 5 stars 12 reviews

Botox while pregnant

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You need to consult your gyn and perhaps a neonatologist. Also get in touch with Allegan and see if they have any similar cases. My best guess is that cosmetic Botox has very little risk of systemic issues and that you and your baby will be fine.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Botox and Pregnancy

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As is true for almost all medicines, there are no studies done on pregnant women who took the drug during pregnancy.  Suffice it to say that 1) many women have taken Botox while pregnant, and have safely delivered healthy babies, and 2) no drug is considered safe in pregnancy without qualifications.  Your obstetrician should be consulted, because this physician is uniquely positioned to recognize and deal with any issues that arise.  In the event that you have taken Botox during pregnancy, you can be assured that there has been no established link between Botox and birth defects or miscarriage in women.  

Best to you,

Gregg Kennedy, M.D.

Botox while pregnant

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I am not aware of any human studies that show adverse effects of Botox on pregnant women or the fetus.  That being said, cosmetic treatments like Botox and fillers are always deferred in women who are pregnant or nursing due to the remote possibility of unknown effects on the baby.  While the small amounts of Botox used in the face for cosmetic purposes is unlikely to cause any harm, a visit with the obstetrician would definitely be recommended.

All the best,

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Tough one

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Unfortunately I don't think you are going to get a good answer from any plastic surgeons haha.

I would defer this one to your OB/gyne and your pediatrician. They will be able to better advise you. 

That being said, you should have some piece of mind that the dose for cosmetic botox is very small compared to any of those mouse studies. So do your best to not google and see your OB/GYN asap. They will likely make you feel better.

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Pregnancy and Botox

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Thank you for your question. I would not worry too much if you had Botox and found out you were 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 saftey 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 yours and I do recommend that you stop any future injectable treatments until either the baby is born or until after breast feeding. I would also let you OB know that you had a Botox treatment during pregnancy so they are aware.

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.