Botox and Breastfeeding - What are the most current research studies regarding Botox and breastfeeding? Am I okay to continue?

It is not recommended or encouraged. While the risk may be small or not, we don't know.  We don't do research on this subject and you do not want your baby exposed to botox in your breast milk. If you insist on getting botox, stop breast feeding. If you feel strongly about breast feeding your baby, stop getting botox.  I would not give your baby any of the breast milk pumped for the first few days after the botox treatment.  While there is no research on when it might be safe, the botox is rapidly absorbed and likely there is no free botox in your body after a few days.  Again that is not an endorsement for the practice you are engaged it.  For a more definitive answer, consult your treating pediatrician. 

There hasn't been research or currently on-going research on the subject of breast feeding and/or pregnancy and administration of Botox.  The risks are therefore unknown, but not worth the risk to the baby.  If you wish to continue using Botox, I would not use the breast milk for at least a week after injection.  I personally tell my patients to avoid Botox if they are or plan to get pregnant and if they are breast feeding.  Seeking further information from your Pediatrician is also a good idea.

I recommend following up with your baby's pediatrician. There are no studies that support the use of Botox during breastfeeding or conversely a negative impact on babies, so it's difficult to advise you. I recommend waiting several days if you do resume breastfeeding. Hope this helps.