I Received Botox the Morning Prior to Conception. What Are the Risks?

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 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 yours and I do recommend that you stop any future injectable treatments until either the baby is born and after breast feeding. I would also let you OB know that you had a Botox treatment during pregnancy so they are aware.

It is not known what effects Botox has on the baby during pregnancy as there is not much research on it.  For this reason we do not recommend that women get Botox when pregnant, breastfeeding, or if they plan to become pregnant.  I would discuss the situation with your OB/Gyn.

Hi Betsy.  We're not sure that we can add much to the very comprehensive answer made by Dr. Altman other than to say that we believe you should try not to lose sleep over this.  That is not meant to minimize your concerns but rather to help you feel better about the situation.

Although there are no studies involving pregnant women or women trying to get pregnant that are also using Botox, the chance of the Botox making it to the fetus would be exceedingly low based on the localized nature of the product.