Navigating Filler and Neurotoxins During Pregnancy: What You Need to Know

pregnant stomach

Pregnancy is a transformative journey that brings about significant changes to a woman's face and body, both inside and out. As expectant mothers prioritize their health and well-being, questions arise about getting cosmetic procedures like dermal filler and Botox. With a growing concern for safety, it's crucial to explore the potential risks and benefits of these treatments during pregnancy. This blog aims to provide a comprehensive overview of filler and neurotoxin use during pregnancy, helping you make informed decisions about your cosmetic choices while safeguarding the health of both you and your growing baby.

Filler: Dermal fillers are injectable substances, such as hyaluronic acid, used to add volume, smooth wrinkles, and enhance facial contours. They are commonly used to address lines, folds, and sagging skin.

Neurotoxins: Injectable neurotoxins are used to temporarily relax muscles and reduce the appearance of wrinkles, primarily in the upper face. Popular neurotoxins include:

• Botox

• Dysport

Safety Concerns During Pregnancy

During pregnancy, the body undergoes complex hormonal and physiological changes to support the developing fetus.  It is important to avoid anything that may cross the placenta and potentially harm the fetus.  While there is limited research on the effects of filler and neurotoxins during pregnancy, medical experts advise against undergoing these procedures for several reasons:

Limited Research: There is a lack of comprehensive research on the safety of filler and neurotoxins during pregnancy. Due to ethical reasons, clinical trials involving pregnant women are limited, making it difficult to draw definitive conclusions about potential risks.

Potential Risks: Injectables like filler and neurotoxins carry a risk of infection and allergic reactions. The body's response to these substances may change during pregnancy, potentially leading to adverse outcomes.  

Systemic Absorption: Although filler and neurotoxins are primarily injected into specific areas, there is a possibility of some absorption into the bloodstream.  Some fillers contain Lidocaine, which is known to cross the placenta and cause issues with the fetus/neonates nervous system, heart, or vascular tone.  Botox has not been found in peripheral blood when injected into the muscle, however, data is still limited so avoidance is recommended.  Dysport has been found to cause adverse events in animal studies, but studies on humans are still limited as well.  

Expert Opinions


Leading medical organizations, including the American College of Obstetricians and Gynecologists (ACOG) and the American Society for Aesthetic Plastic Surgery (ASAPS), generally recommend avoiding cosmetic procedures like filler and neurotoxins during pregnancy. Their cautious stance is rooted in the absence of definitive research on the safety of these treatments for both mother and baby.

Alternatives and Postpartum Considerations


While you may opt to postpone filler and neurotoxin treatments during pregnancy, there are alternative ways to maintain your appearance and self-confidence:

Skincare Regimen: Focus on a gentle skincare routine to keep your skin healthy and hydrated during pregnancy.  You can continue with your facials as well as long as you let your aesthetician know that you are expecting.  It is best to avoid topical Vitamin A products (retinols etc) since it is known to cause craniofacial malformations, heart, and thymus abnormalities. 

Makeup Techniques: Explore makeup techniques to highlight your best features and conceal minor imperfections.

Postpartum Planning: If you're eager to resume filler and neurotoxin treatments after pregnancy, consult your healthcare provider and cosmetic specialist. After childbirth and breastfeeding, it might be safer to consider these procedures.

Prioritizing the health and safety of both you and your developing baby is paramount during pregnancy. While the allure of cosmetic procedures like filler and neurotoxins may be enticing, the lack of conclusive research on their safety during this delicate phase of life raises valid concerns. It's advisable to consult your healthcare provider and a qualified cosmetic specialist before making any decisions about these treatments. Remember, pregnancy is a temporary phase, and there are alternative ways to embrace your natural beauty and confidence until you're in a more suitable stage for cosmetic procedures.

If you have more questions about filler and neurotoxins, our founder Erin Gordon, M.D., would be happy to help. Simply contact us through our website today to begin the journey to a healthier and happier you. 

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