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Fillers and Botox: Safe During and After Pregnancy?

By Robert Kotler, MD, FACSApril 21, 2010
From the WebMD Archives

In my last post, I discussed why it is never wise to have cosmetic surgery while pregnant. Today, I’ll talk about the safety of fillers and Botox during and immediately following pregnancy.

Injectable filling material such as Juvéderm, Restylane, Radiance, and Artefill typically do not enter the circulation and therefore it would not appear to be dangerous during pregnancy.

Understand that the fillers and the wrinkle-softeners, Botox and Dysport, are all degraded or metabolized by the body and their end products would not be expected to be injurious any more than any other medication that the mother may be taking.

However, I am just against any non-essential service being rendered to a patient during pregnancy. In medicine, we don’t have 100% certainty as to all the interactions between drugs and the body. So, why take the chance?

After a baby is delivered, the question often comes up about whether or not it is safe to have fillers, Botox or Dysport, and whether or not these medications might enter the breast milk. Again, my response is one of being extremely conservative: Not likely to cause a problem, but why take a chance?

Do you wait until you are done breastfeeding or take a hiatus in the breastfeeding until the injections are given? Yes, both are good options.

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