Can You Get Botox While Breastfeeding?

Medically Reviewed By
Dr. Rima Sonpal (Gynecologist/Obstetrician)
Expert Validated

If you are a breastfeeding mom, you must ensure that any medication you take is safe for your baby because medicines can enter the breast milk from your bloodstream and may harm your baby. Botox is a substance that is used for both medical and cosmetic reasons. Many women use botox treatment for various reasons, such as lifting sagging breasts after childbirth, facial lifts, and several other cosmetic or medical procedures. If you are a nursing mom planning to take a Botox injection, you must first find out if Botox while breastfeeding is safe or not.

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What Is Botox and What Are Its Uses?

Botox is a neurotoxin derived from the bacteria, Clostridium BotulinumBotox is an abbreviation for Botulinum toxins, which is the source of this prescribed medication. Botox is known to cause paralysis when administered in large doses. If given in small quantities, it causes paralysis only in the small area of the body where it is injected.

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Some of the primary benefits of getting a Botox injection are as follows:

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  • Botox can treat wrinkles.
  • It is effective against excessive sweating.
  • It helps fight migraine and nausea.
  • It fights unwanted twitches, squints, and Bell’s Palsy by relaxing the muscles and preventing them from acting on misfiring neurons involuntarily.

How Does Botox Work?

Every muscle tissue in the body is connected to the brain through a network of neurons. Botox, when administered properly into the muscle tissue, forms a shield between the muscle tissue and the neurons. This cuts off all the signals from the neurons to the muscle tissues, making them relaxed. Due to the cut-off of signals from the neurons in a localised region in the body where it is administered, it is extremely useful in removing wrinkles due to sun damage and gravity.

Should Breastfeeding Moms Get Botox?

Many moms wonder, ‘Can you get botox while breastfeeding?’ Although research on Botox and breastfeeding studies has shown no visible effect or medical implications of getting a Botox injection. In contrast, breastfeeding, a few things, such as the ones given below, should be taken into account before you opt for it:

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  • Research has shown that botulin toxins enter the bloodstream in small quantities, even if administered to muscle tissue.
  • Most of the medications taken by the mother are present in the breast milk while the mother is nursing her baby.
  • Since there are potential medical risks that a breastfeeding baby may be exposed to, most mothers do not take the risk of undergoing Botox injections when they are nursing.
  • When it is necessary to undergo Botox for medical reasons rather than cosmetic reasons, it is advised that the mother should stop nursing the child.

The potential risks of breastfeeding after a Botox injection outweigh the benefits of the injection. It is necessary to understand the risks and side effects of using Botox and breastfeeding so that you can decide for yourself.

Should Breastfeeding Moms Get Botox?

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What Are the Side Effects and Risks of Getting Botox During Breastfeeding?

Some of the significant side effects of Botox injections during breastfeeding are as follows:

  • Botox causes Botulism, which can be a dangerous medical condition for people with low immunity, like new-born babies, pregnant women, and older adults.
  • Another side effect is the drying of mouth for a period after the Botox injection.
  • A study to correlate the effects of Botox on breastfeeding on rodents revealed that it has an extremely adverse impact on the offspring’s weight and bone development.
  • Extreme usage of Botox can give rise to urological and pain-related disorders, such as an overactive bladder.
  • Botox is also the cause of multiple neuromuscular disorders, like cervical dystonia.
  • Administering Botox can also cause eye and vision-related problems.
  • There have also been reports of temporary discomfort at the site of the Botox injection.
  • Causes localised pain and swelling. Injection site pain and swelling can occur temporarily after a Botox treatment.
  • Though rare, allergic reactions to Botox can happen, leading to itching, rash, or shortness of breath.

Can Pumping and Dumping Reduce the Impact of Botox in Nursing Mothers?

Pumping and dumping is a method used by nursing mothers to remove harmful substances from breast milk. The method involves extracting milk and throwing it away instead of feeding it. This does not necessarily remove the substance, but it helps metabolise the substance from the blood and in the milk. There is no concrete information on how much time botox takes to metabolise out of the blood. Hence, ‘pump and dump’ may not be an extremely effective solution against breastfeeding after a Botox injection.

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Guidelines for Preventing the Serious Effects of Botox

Some basic guidelines for preventing the severe effects of botox while nursing on both mother and baby are as follows:

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  • Try avoiding botox injections if you want to take it only for cosmetic reasons. If you need Botox for medical conditions, avoid nursing and breastfeeding your child after a botox treatment.
  • Seek help from a medical professional as there is not enough scientific evidence on the effects of Botox on breastfeeding women.
  • Botox is FDA-approved for specific cosmetic and medical uses. Be cautious of off-label uses, as the safety and efficacy may not be well-established.
  • Be cautious of exceptionally low-cost Botox treatments, as they may involve diluted or counterfeit products, which can lead to adverse effects.
  • Disclose all medical conditions and medications you’re taking, as certain conditions and drugs may increase the risk of complications.

Safe Alternatives to Botox for Breastfeeding Moms

There are some safer alternatives to Botox for breastfeeding mothers that can be considered.

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1. Medical Botox Alternatives

Over-the-counter pain medications like Acetaminophen or Ibuprofen.

2. Cosmetic Botox Alternatives

You can try facial acupuncture. A professional massage is also an excellent Botox alternative that can induce muscle relaxation. Along with this, you should also stay hydrated and follow a healthy diet.

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3. Topical Skincare Products

Opt for skincare products containing hyaluronic acid, peptides, and antioxidants. These can help hydrate your skin, boost collagen production, and reduce the appearance of fine lines and wrinkles over time. Look for products specifically designed for anti-ageing and consult a dermatologist for recommendations.

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4. Microcurrent Facial

Microcurrent facials involve low-level electrical currents to stimulate facial muscles, improving muscle tone and skin texture. While results may be subtle and require multiple sessions, they are non-invasive and generally safe during breastfeeding.

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5. Dermal Fillers With Caution

Some hyaluronic acid dermal fillers may be considered safe during breastfeeding, but this should be discussed with your healthcare provider. If you choose this option, ensure that you go to an experienced practitioner who understands the specific considerations for breastfeeding mothers and can use minimal amounts to minimise potential risks. Always prioritize safety for both you and your baby.

6. LED Light Therapy

LED light therapy can be a safe option for improving skin health. Different coloured lights target specific concerns, such as red light for collagen production and blue light for acne. These non-invasive treatments can be done at home or at a skincare clinic.

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FAQs

1. Can Breastfeeding Mothers Get Any Vaccines After Having Botox?

Generally, receiving vaccines after Botox treatment is typically safe for breastfeeding mothers. Botox is administered locally, and its effects are not known to interfere with the efficacy or safety of vaccines. However, it’s essential to consult your healthcare provider for specific recommendations, as individual situations may vary.

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2. Can I Get Fillers While Breastfeeding?

The safety of getting dermal fillers while breastfeeding is a matter of concern. While some hyaluronic acid fillers may be considered safe, consulting with a healthcare provider who can assess your situation is crucial. They can guide whether the specific filler or treatment is safe for you and your baby. Always prioritise safety when considering cosmetic procedures during breastfeeding.

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Although there are no direct medical implications to using Botox and fillers while breastfeeding, the potential risks of doing so outweigh the benefits of using Botox. For your safety and good health of your baby, it is best that you stay away from Botox injection while breastfeeding.

References/Resources:

1. BOTOX Cosmetic (onabotulinumtoxinA) for injection, for intramuscular use Initial U.S. Approval: 1989; Allergan.INC; https://www.rxabbvie.com/pdf/botox-cosmetic_pi.pdf 

2. Botox injections; Mayo Clinic; https://www.mayoclinic.org/tests-procedures/botox/about/pac-20384658?p=1 

3. Botox & Baby: What We Know About The Risks during Pregnancy & Breastfeeding; MotherToBaby; https://mothertobaby.org/baby-blog/botox-baby-what-we-know-about-the-risks-during-pregnancy-breastfeeding/; May 2021

4. Botulinum toxin injections for strabismus (squint) during pregnancy and breastfeedingFAQ’s; NHS; https://www.moorfields.nhs.uk/sites/default/files/Botulinum%20toxin%20injections%20for%20strabismus%20%28squint%29%20in%20pregnancy.pdf 

5. Botox; U.S. National Library of Medicine; https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/103000s5232lbl.pdf  

Also Read:

Is Microblading Safe while Breastfeeding?
Apple Cider Vinegar during Breastfeeding
Taking Cold Medicine when Breastfeeding
Is It Safe to Have Protein Powder while Breastfeeding?

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  • Expert Reviewer
About the Author
Aarohi Achwal

Dr. Rima Sonpal About the Expert
Dr. Rima Sonpal
(Gynecologist/Obstetrician)

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