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Botox Cosmetic: What about Pregnancy?

BOTOX® Cosmetic is a very common cosmetic procedure, especially in young woman of child-bearing age. A concern which always comes up is the timing of Botox around pregnancy.

BOTOX® Cosmetic is a category C medicine, based on animal pregnancy studies. There are no adequate and well-controlled studies of BOTOX® Cosmetic in pregnant women.

BOTOX® Cosmetic becomes most active within 2 weeks after injection. Cosmetic results from Botox are typically 4 months, while some patients may have longer aesthetic benefits.

The current recommendation is not to have any elective procedure, including Botox, if you are pregnant or about to become pregnant, or breastfeeding. If a patient becomes pregnant after injection the potential risks, which have only been observed in rabbits, include abortion or fetal malformations.

A safe answer would be

  • wait at least 4 months after your last injection before trying to become pregnant
  • absolutely no Botox while pregnant
  • absolutely no Botox while breast feeding

Speak to your Ob/Gyn about your concerns.

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    Houtan Chaboki, M.D.