I'm 19 weeks pregnant and I had received a vial full of dysport on the jaw muscles. Will this affect my pregnancy?

Question

I'm 19 weeks pregnant and I had received a vial full of dysport on the jaw muscles for face slimming during second or third week of gestation unawared that I was pregnant. I have irregular periods so the gestation was estimated by the estimated due date. Please kindly advice. It is driving me crazy. Thank you.

Germán Newall, MD, FACS, FICS · Answer

Thanks for your question. It's unlikely that anything will happen. It is best to wait to get more dysport after you have given birth.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about Dysport.It is unlikely to have any adverse effect.  Obviously, do not get any more.

To be sure, return to see your injector, see your obstetrician and/or see two or more licensed
and board-certified providers in your area for a complete evaluation.

I hope this helps.

Brian S. Biesman, MD · Answer

Wall botulinum toxins are obviously not recommended for use during pregnancy, many people over the past several decades that these drugs have been available have become pregnant while they have botulinum toxin in their systems.  Many others have been injected not knowing there were pregnant.  There are no reports of problems as a result of this.I think you can put your mind at ease and not worry about this one

Jason Emer, MD · Answer

It is likely nothing will happen, although it has not been studied in those who are pregnant.  It is often that people get neuromodulation and do not know they are pregnant.  So I would not have concerns at this point.  Best, Dr. Emer.

Kenneth D. Steinsapir, MD · Answer

Botulinum toxin injections are done for both medical and cosmetic reasons.  We do not have research establish the safety of botulinum toxin during pregnancy.  It is used medically during pregnancy for certain neurologic conditions where the benefits seem to outweigh the risks.  Ethical practitioners do not feel that cosmetic indications can outweigh unknown risks to the health of the fetus.  There is a small study including a few women to received cosmetic botox when they did not know that they were actually pregnant.  These women has no issues with their pregnancies and no harm to their babies.  So the general advice now when this happens is to not worry about it.  What I would recommend is that if you are concerned about this, discuss the situation with your obstetrician.  If you are still uncertain, he or she can refer you to a perinatologist for consultation.

Sumit Bapna, MD · Answer

This has probably occurred in every practice across the country where a decent volume of botulinum toxins are injected, including ours. We have never had any problems related to this, so I would advise you to not worry about it.

F. Victor Rueckl, MD (in memoriam) · Answer

This happens, and really, quite frequently. Like Dr. Steinsapir noted, there are times when medical Botox (or Dysport) is done even though we know someone is pregnant. Now obviously we aren't trying to inject people with neuromodulators for cosmetic purposes when we know they are pregnant (due largely to potential malpractice issues and not actual science that proves anything could go wrong), but the truth is that most likely it's just fine. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

I'm 19 weeks pregnant and I had received a vial full of dysport on the jaw muscles. Will this affect my pregnancy?

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