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Is Botox During Pregnancy Safe? What Expecting Moms Should Know

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Botox is one of the most versatile treatments in the aesthetics industry, approved by the Food and Drug Administration (FDA) for both cosmetic purposes and medical uses, and with millions of satisfied patients yearly.

Despite its versatility, efficacy, and high safety profile, Botox also has its limitations when it comes to its suitability for pregnant women. The most common concern expecting mothers have about Botox is its potential risk to the developing fetus inside their bodies.

As a mom-to-be, you might be wondering: Can you get Botox during pregnancy? The short answer: No. Botox is generally not considered safe during pregnancy due to a lack of conclusive data from human studies. As a precautionary measure, pregnant women are advised to avoid Botox entirely, especially if it’s for purely cosmetic uses.

This article covers everything expectant moms need to know about risks, medical opinions, and safe alternatives to Botox injections. Read on to discover the safety of Botox during pregnancy.

Overview of Botox and Its Uses

Botox, or botulinum toxin type A, is an injectable neurotoxin that paralyzes underlying facial muscles to reduce the appearance of facial wrinkles and fine lines, or to create an intended medical effect.

Here are the most common uses of Botox for both cosmetic reasons and medical conditions:

  • Cosmetic uses: Smooths wrinkles and fine lines such as forehead lines, glabellar lines, crow’s feet, bunny lines, nasolabial folds (smile lines), and marionette lines.
  • Medical uses: Treats health conditions like muscle spasms, hyperhidrosis (excessive sweating), cervical dystonia, and chronic migraines or severe headaches.

Common Concerns for Expectant Mothers

Now, let’s review the most common concerns expecting mothers have when it comes to the possibility of getting Botox treatments while pregnant:

  • Potential effects of Botox on fetal development
  • Impact of Botox on breastfeeding or breast milk
  • Side effects of getting Botox injections during pregnancy
  • FDA approval or classification of Botox and pregnancy outcomes
  • Clinical studies on Botox use during pregnancy

We address these pressing concerns—and more—in great detail below. 

Can You Get Botox During Pregnancy?

For your and your baby’s safety, receiving Botox during pregnancy is off the table. Here’s everything you need to know so that you can make an informed and safe decision.

Is Botox Safe During Pregnancy?

The FDA labels Botox as a category C drug. This category refers to clinical trials where adverse effects were recorded on the fetus of pregnant animals (like birth defects at high dosages, which are not typically administered to patients), but no adequate human studies have been made to reach a satisfactory conclusion.

This means that, while Botox during pregnancy hasn’t been verified as dangerous to humans, it has also not been proven to be safe for pregnant women.

Medical Opinions on Botox Use

Medical professionals generally recommend that pregnant patients err on the side of caution and skip Botox injections entirely when expecting or breastfeeding. This includes other cosmetic procedures that don’t meet prenatal safety guidelines, such as dermal fillers or microneedling.

Since cosmetic and preventative Botox have no proven clinical benefits to pregnant women, treating physicians advise against taking the risk associated with injections. This ensures safer pregnancy outcomes for expecting moms and their infants.

Risks of Botox Injections for Pregnant Women

Since there isn’t enough conclusive evidence to guarantee the safe administration and use of Botulinum toxin during pregnancy, the main risk for expectant mothers is the unknown effect of Botox on the baby.

Botox is administered in small doses and localized in the injection site, so it’s considered unlikely for the toxin to enter the placenta. This, however, has not been proven in human studies. Because of this, the risks of Botox injections for pregnant women include the following:

  • The safety of the fetus is not guaranteed, possibly leading to largely unknown effects on fetal development.
  • While Botox is unlikely to enter breast milk, potential toxin spread to other areas may be a cause for concern.
  • Pregnancy can cause the body’s immune system to have unpredictable responses to Botox, triggering potential allergic reactions that are unsafe for expectant mothers.
  • Most exposure to the toxin occurs early, or during the first trimester of pregnancy, so it’s better to be safe than sorry if you happen to get pregnant while receiving injections.

Prenatal Safety Guidelines and Botox

From undergoing safety assessments by licensed professionals to knowing if Botox is allowed during pregnancy, prenatal safety guidelines are crucial to ensuring optimal safety for expecting moms and their infants.

Safety Assessment by Medical Professionals

During your Botox consultation, medical professionals will conduct a safety assessment and advise against Botox use if you are currently pregnant or breastfeeding. This includes a thorough evaluation of your medical history and laboratory test results.

Is Botox Allowed During Pregnancy?

While Botox should generally be avoided by pregnant patients as a precaution, physician-led medical spas and dermatology clinics would not allow Botox for cosmetic purposes during pregnancy in the first place. Again, this is due to a lack of sufficient evidence on its safety.

Botox Injection Side Effects in Pregnant Women

Whether it’s common, specific, or long-term, potential side effects of Botox injections in pregnant women are always worth knowing for both you and your baby’s sake.

Common Side Effects of Botox

The common side effects of Botox include:

  • Swelling
  • Redness
  • Mild bruising
  • Localized pain 
  • Minimal discomfort

Don’t worry too much, though, as these side effects are mild, temporary, and typically resolve on their own after a few days, especially with the right aftercare.

Specific Risks Associated with Pregnancy

There’s an increased risk for Botox when you’re pregnant because of the lack of conclusive evidence and studies. Here are the specific risks and side effects of Botox during pregnancy:

  • Botulinum toxin A spreading beyond the treatment area or injection site (which happens as a result of poor injection techniques from inexperienced or unqualified providers)
  • An altered immune system due to pregnancy, triggering potential allergic reactions
  • Unpredictability of the body’s response to getting Botox injections while pregnant

Long-Term Effects and Follow-Up Studies

When administered by inexperienced or unqualified providers with poor injection techniques, the long-term side effects of Botox to watch out for include:

  • Botulism (toxin spread)
  • Breathing or swallowing problems
  • Vision problems
  • Skin infections
  • Muscle atrophy from Botox overuse

Clinical studies reveal that the safety of Botox during pregnancy has not yet been definitively established since only animal testing has been conducted. Research suggests that there is limited data from large-scale clinical trials, resulting in insufficient evidence to support the claim that Botox is safe for pregnant women to use.

Alternatives to Botox During Pregnancy

If you’re a mom who’s expecting and you want to keep your baby safe without missing out on facial rejuvenation, don’t worry. We’ve listed pregnancy-safe alternatives to Botox below:

Effective Skincare During Pregnancy

For effective skincare and overall smoother, healthier skin without Botox, pregnant women can practice a routine that consists of the following steps:

  • Cleanse: Gently wash your face with mild facial products that contain no harsh chemicals.
  • Hydrate: Use products that lock in hydration, like hyaluronic acid, which is a safe, naturally occurring substance in the body.
  • Protect: Wear a broad-spectrum, mineral-based sunscreen and avoid direct (or too much) sun exposure.
  • Brighten: Use facial-brightening products infused with vitamin C and niacinamide (both are safe and FDA-approved for pregnancy).
  • Moisturize: Apply moisturizer and nourishing creams with soothing ingredients like aloe vera and shea butter that repair the skin’s barrier.

Botox Replacement During Pregnancy

Botox replacements during pregnancy include gentle skincare ingredients such as topical vitamin C and niacinamide.

Aside from these products, however, Botox injections can also be substituted with alternative treatments at med spas, such as the following:

  • Pregnancy-safe facials
  • Gentle topical treatments
  • LED red light therapy
  • Aromatherapy

It’s important to note that pregnant patients should only get medical-grade treatments at reputable med spas with expert physician oversight, like InjectCo’s premier aesthetic and wellness clinic, to ensure prenatal guidelines are followed for optimal safety.

What to Do Instead of Botox During Pregnancy

Aside from turning to skincare and alternative treatments, what you can do instead of getting Botox during pregnancy is make lifestyle changes that promote overall skin health, such as the following:

  • Stay hydrated: Drinking water keeps your skin well-hydrated and plump, minimizing the appearance of wrinkles and fine lines.
  • Maintain a healthy diet: A balanced, nutritious diet isn’t just good for you and your baby’s health; it also keeps your skin looking young and revitalized.
  • Get enough sleep & rest: There’s nothing quite like a good night’s sleep when you’re pregnant; getting adequate rest is essential for skin health.

Summary

Here’s a summary of key points to remember from this article:

  • Botox is an FDA-approved injectable toxin for both cosmetic and medical uses, whether it’s smoothing wrinkles or treating conditions like muscle spasms and chronic migraines.
  • Botox is generally not considered safe during pregnancy due to a lack of conclusive data from human studies, so pregnant women are advised by medical professionals to avoid Botox entirely.
  • The main risk for expecting moms is the unknown effect of Botox on the developing fetus.
  • The specific risks associated with pregnancy and Botox include the toxin spreading beyond the injection site, an altered immune system, and potential allergic reactions as your body responds to the treatment.
  • Safe Botox alternatives during pregnancy include gentle skincare ingredients like vitamin C and niacinamide, med spa treatments like pregnancy-safe facials, and lifestyle habits that promote overall skin health.

We encourage patients who are pregnant to consult with a trusted healthcare provider like InjectCo for a thorough assessment of their medical history and recommendations for safe alternatives to Botox.

Final Thoughts on Skincare During Pregnancy

Giving birth is an exciting journey, and while you may put Botox injections on pause during this sensitive time, there are many alternative, pregnancy-safe options to achieve radiant beauty while protecting you and your baby when you’re expecting.

At InjectCo, our expertise goes beyond Botox treatments to offer you premium aesthetic services from our master nurse injectors and skilled physician assistants.

Ready for elevated skincare solutions? Book a free virtual consultation today, and consult with our licensed specialists on safe and effective Botox alternatives for when you want to look your best while pregnant.

Frequently Asked Questions

Is Botox safe during pregnancy?

No. Getting Botox for cosmetic or medical reasons is generally not recommended because of a lack of sufficient data from controlled human studies on its safety during pregnancy. If you can avoid Botox, medical professionals recommend turning to alternative options instead.

What happens if you accidentally get Botox while pregnant?

If you accidentally get Botox while pregnant, don’t panic. While it’s safer to err on the side of caution and skip the injections entirely, getting Botox accidentally injected during pregnancy should have no adverse effects on you or your baby since the injection, often in small doses, is localized in the treatment area. 

However, since there is no conclusive proof of the safety of getting Botox injections while pregnant, you should contact or inform your healthcare provider immediately for good measure.

What can I use instead of Botox during pregnancy?

Instead of Botox, pregnant people can use gentle skincare ingredients such as vitamin C and niacinamide, as well as med spa treatments like pregnancy-safe facials, LED red light therapy, and aromatherapy—all while maintaining healthy lifestyle habits like drinking plenty of water and getting enough sleep.

Written By:
Kiara DeWitt, BSN, RN, CPN, Advanced Clinical Nurse Injector


Kiara DeWitt, BSN, RN, CPN founded InjectCo in early 2021 while also heading up the neurosurgery + neurology unit at Cook Children’s Pediatric Hospital as lead clinical educator. After completing her Bachelor's degree at Texas Christian University, Kiara realized just how much the aesthetic medicine industry was missing, wishing it was more focused on ethical decision-making and building relationships. Kiara’s dream was to create an atmosphere for her patients where they feel loved, empowered, and comfortable. She believes in a “lead to serve” mentality, hoping to create a more personal connection with both her patients and team alike. Kiara curated a team of 13 professionals across eight clinics, six of which are in DFW, one in Houston, and one in Austin.
Kiara loves nothing more than creating a collaborating, educational approach with her team, and thrives on personal and professional growth opportunities. She hopes that her patients feel heard and encouraged at every InjectCo visit and that they are truly excited about their personalized and well-designed aesthetic treatment plan. This love for education and safety in the industry led her to later found Texas Academy of Medical Aesthetics, an accredited training program that specializes in a 100+ hour aesthetic injector internship where students are able to train and shadow at all eight of InjectCo’s clinics.


Kiara’s patients recognize her and the entire InjectCo team as highly skilled and extremely thorough clinicians. She hopes to continue being a knowledgeable and approachable resource for clinical injectors across the country who are hoping to grow and scale their aesthetic business.

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