Can You Get BOTOX® While Pregnant?

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Jaimie DeRosa, M.D., F.A.C.S.

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3/22/2025

If you're one of the lucky women who feel the pregnancy glow-up, you may not necessarily be thinking about how being pregnant will impact your aesthetic routine. For many women, however, this isn't the case. Oftentimes, one of the first questions an expectant mother has is whether she'll be able to continue her favorite aesthetic treatments and procedures during pregnancy, what she may add to her routine to look and feel her best as her body changes, or what pregnancy-safe aesthetic alternatives may be suitable for her.

When it comes to wrinkle treatments specifically, women often ask about the safety of BOTOX during pregnancy. Although BOTOX is not proven to be dangerous during pregnancy, neither is it shown to be safe. For this reason, women are often advised to pause their BOTOX injections during pregnancy. Here, Boston, MA double board-certified facial and reconstructive plastic surgeon Dr. Jaimie DeRosa shares insights into the safety of BOTOX while expecting, as well as alternative considerations for keeping skin looking and feeling its best throughout pregnancy and beyond.

Can you get BOTOX if you're pregnant?

Without definitive guidance from the FDA and other governing bodies on the safety of BOTOX for pregnant women, patients are typically advised to stop getting BOTOX — as well as many other cosmetic injectables — while expecting.

What BOTOX alternatives are safe during pregnancy?

To err on the side of safety, pregnant women are usually encouraged to avoid neurotoxin injections of any kind while carrying a child. However, that doesn't mean you have to stand aside and let wrinkles and other skin concerns keep you from feeling your best during this important stage of life. Some of the skin-rejuvenating solutions you may consider to keep your complexion as smooth and radiant as possible during pregnancy include:

  • Pregnancy-safe facials
  • Topical skincare products that are safe during pregnancy
  • Daily moisturizers and sun protectants
  • Eating a healthy, balanced diet
  • Staying hydrated
  • Certain aesthetic skin treatments considered safe and gentle during pregnancy

Prior to starting, changing, or stopping a skincare routine during pregnancy, be sure to consult with your physician and other providers.

Can I get BOTOX while breastfeeding?

Like BOTOX during pregnancy, cosmetic injectables while breastfeeding are also typically discouraged, as there is a lack of clear evidence and/or guidelines on the safety of these products for nursing babies.

How soon after giving birth can I start getting BOTOX again?

The timeline for restarting BOTOX after giving birth will vary from woman to woman depending on a variety of factors, like her overall health, whether she plans to breastfeed, and others. If you are pregnant and have questions about when you can start getting BOTOX after having your baby, don't hesitate to ask Dr. DeRosa or our knowledgeable aesthetic team, who are committed to ensuring you look and feel confident throughout each phase of life — including pregnancy and motherhood.

Understand your options for cosmetic treatments, injectables, and aesthetic skin care in Boston, MA

When you are carrying a child, you may start to think even more about what you're putting on and in your body — for both the sake of your health and the health of your growing baby, and we are here to help answer questions you may have about aesthetic treatments during pregnancy. To learn more about the safety of BOTOX and other cosmetic injectables while pregnant, contact our friendly team to schedule a private consultation with one of our dedicated aesthetic injectors, under the direction of double board-certified plastic surgeon Dr. Jaimie DeRosa, at The DeRosa Center in Boston, MA today.

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