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The NHS warns against Botox while pregnant. Here’s why it’s a no-no to Bobo

Are you a Botox babe or thinking about becoming one but wondering if it’s safe during pregnancy? Well, you’re in the right place. Many women wonder if they can safely start or continue their beloved Botox routine when growing a tiny human. Everything you need to know is just below…

What is Botox?

Botox (or to give it it’s full title: botulinum toxin), is an increasingly popular way to hide the ageing process. It involves the specific injection of Botox in different parts of the facial muscles in order to temporarily relax the muscles and reduce the appearance of fine lines and and wrinkles. While it’s widely used and generally considered safe for most people, it’s not quite so straightforward when you’re pregnant.

Is Botox safe during pregnancy?

We’re sorry to break it to you but the short answer is no. It’s generally not recommended to get Botox injections while pregnant. In fact, the NHS explicitly advises against using Botox during pregnancy due to a lack of research on its safety for the developing baby​ (​.

What could happen to my unborn baby if I had Botox?

Even if you’re not pregnant, it’s important to remember that Botox can still result in some potential negative side effects. They’re usually minimal but can include bruising, headaches or a temporarily drooping eyelid. The more serious possible side effect is botulism.  Botulism is a rare but serious illness caused by a toxin that attacks the body’s nerves. It can result in difficulty breathing, muscle paralysis, and even death. 

Is Botox safe while breastfeeding?

The safety of Botox during breastfeeding is a little less clear cut. The NHS also advises against Botox for breastfeeding mothers due to insufficient data on its safety​ (​. However, some recent studies provide a bit more insight.

A 2024 pilot study involving breastfeeding women treated with Botox found that while trace amounts of Botox were detectable in breast milk, the levels were significantly lower than the lethal dose for infants. This suggests that the risk to your baby is minimal, but it’s important to note that the sample size was really too small to know for sure​ (Breastfeeding and Medication)​.

What about using Botox for medical reasons?

Although Botox is more commonly known for its aesthetic reasons, it’s also used for a range of medical conditions too, such as chronic migraine, eye muscle disorders and muscle stiffness. Whilst it’s generally advised against elective procedures during pregnancy, the risk-benefit analysis might be different if a pregnant woman needs Botox for medical reasons. In other words, the small risk of Botox might be worth it if the pain from the medical condition is making your life really miserable. Like so many decisions in pregnancy, it will come down to your personal preference.

I didn’t know I was pregnant and got Botox. Will my baby be OK?

Firstly, don’t freak out. Although there isn’t much research about the effects of Botox while pregnant, the small doses that are used in a single treatment session are really not likely to make it near your baby.

Alternatives to Botox while pregnant

If you’re looking for safe ways to still keep on top of your beauty routine while pregnant or breastfeeding, then here are a few options to consider:

  1. Topical treatments: Products containing hyaluronic acid, vitamin C, and peptides can help keep your skin hydrated and reduce the appearance of fine lines.
  2. Facials and non-invasive treatments: Treatments like hydrafacials and gentle chemical peels can improve skin texture without the use of injectables.
  3. Healthy lifestyle choices: Staying hydrated, eating a balanced diet rich in fruits and vegetables, getting adequate sleep, and using sunscreen can significantly benefit your skin


The main thing is to err on the side of caution and even though the risk is small and research is limited, it’s always better to be safe that sorry. If you’re still unsure, speak to your midwife and cosmetics provider so they can give you specific advice about your body and your baby.


  1. NHS on Botox Injections
  2. Breastfeeding and Medication
  3. InfantRisk Center
  4. MothertoBaby Factsheet on Botox

Birthbabe does not provide medical advice, diagnosis, or treatment. the resources on our website are provided for informational purposes only. you should always consult with a healthcare professional regarding any medical diagnoses or treatment options.

Birthbabe is supported by the beautiful babes who enjoy our content. We only recommend products used and approved by mamas, however we may receive an affiliate commission.​

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