Is It Safe to Get Pregnant After Botox?

I received Botox injections for the first time in March. My doctor advised against trying to start a family for two months. I took her advise, and I am now pregnant, in my first trimester. The estimated conception date was July 1. Is there any cause for concern for my baby?

Doctor Answers 6

You and baby are safe!

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Having a Botox treatment 3-4 months before conception is completely safe. All of the Botox molecules injected have long since bond to the neuromuscular receptors in the treatment area and have no potential to cause you or your baby any problems! Enjoy the rest of your pregnancy!

Bentonville Dermatologist

Botox and pregnancy

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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 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.

Pregnancy after Botox treatment

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As the panel members indicated - rest assured, you and baby are quite safe.  With that said, it is highly recommended that you refrain from further Botox treatments during your pregnancy as well as during breast feeding.

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

You're in the clear!

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Since there were 3 months between your botox treatment and conception, any risks to your baby are highly unlikely and any complications with your pregnancy/delivery or the health of your baby may or may not be able to be attributed to the botox.  That said, avoid botox for the remainder of your pregnancy and while breast-feeding. 

It is safe

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Botox cosmetic is pregnancy category "C", meaning that NO human or animal studies have been done.  However, the theoretical risk is quite low.  Botox is thought to remain in the area(s) injected, and therefore transit to the fetus would not be likely, especially months afterwar your injection.  Also, any Botox that entered your bloodstream via reabsorption in March would be long gone prior to July.  While no one can say that it is perfectly safe unless large scale human studies had been done, it is very unlikely that Botox can cause a problem under the circumstances you have described.

Harry Mittelman, MD
Los Altos Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Pregnancy 3-4 months after Botox is perfectly safe!

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Any Botox molecules will have securely and irreversibly bound to neuromuscular receptors by the time of your conception, so you can be reassured that your Botox treatment in March will have no ill effect on your baby. Please understand that this is not the same as guaranteeing you that you will have a perfectly-fine and normal baby, just that any rare and extremely unlikely "problem" of any sort will NOT be due to the fact that you had Botox 3-4 months prior to conception. You simply have the same potential for a "normal" pregnancy and baby as any other new mother.

Relax and best wishes for you and your family's new addition!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 262 reviews

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.