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Botox While Breastfeeding: Is It Safe?

Kristina Cadwell  
December 23, 2021  

Stress and sleep deprivation in the first months of motherhood can accelerate skin aging, causing you to appear pale, dry, and wrinkled. It is no wonder that many new mothers are seeking effective yet minimally invasive treatments, such as Botox or dermal fillers, to brighten and tighten their skin.

This article explains why Botox while breastfeeding may not be safe and what cosmetic alternatives deliver similar skin-rejuvenating results.

Is Botox while breastfeeding safe?

Can I Get Botox While Breastfeeding?

Doctors advise postponing all neurotoxin injectables, including Botox, while nursing. Because there are no extensive studies on the effects of botulinum toxin on infants, most medical professionals recommend delaying treatment until after you’ve stopped nursing.

This study indicates that the injected botulinum toxin is unlikely to poison the infant. However, researchers advise seeking professional medical advice before making any decisions.

Can I Get Botox While Breastfeeding if I Pump and Dump?

Some women use the "pump and dump" method to remove the potentially contaminated breastmilk (e.g., after drinking alcohol).

However, this is not an effective method of removing harmful substances because toxins may remain present in the milk if the substance is in the mother's bloodstream. In the case of Botox, the injected substance takes several weeks or months to metabolize, and scientists don't know for sure if it enters breastmilk.

Since the potential risks of the procedure for the baby outweigh the benefits to the mother, medical providers recommend that patients wait until the nursing period is over to have Botox.

Side Effects of Botox While Breastfeeding

Nursing mothers who undergo Botox can experience the same side effects as any other patient.

The side effects of Botox are temporary and usually mild. They include:

More severe complications are rare, and include the following:

  • Headache
  • Nausea
  • Neck pain
  • Loss of speech
  • Difficulty swallowing or breathing
  • Double or blurred vision
  • Bleeding
  • Infection
  • Rashes
  • Fatigue
  • Muscle weakness
  • Dry mouth
  • Drooping eyelid (ptosis)
  • Allergic reactions (e.g., rashes, itching)

Severe side effects typically occur when an inexperienced, non-medical provider performs the procedure. Choosing a reputable, board-certified Botox provider ensures safety and minimizes risks, including over-injection.

Alternatives to Botox While Breastfeeding

There are excellent beauty treatments that can substitute anti-wrinkle injectables like Botox, keeping both mother and baby completely safe.

This table highlights the best Botox alternatives for nursing mothers.

TreatmentHow it worksTypeBenefitsRisks
FacialsCleansing, exfoliation, and extraction, followed by moisturizing and nourishing masks and serums.Oxygen facial, HydraFacial, microcurrent facial, pumpkin facial, and holistic facial.  Skin detox, exfoliation, smoother texture, improved complexion, reduced discoloration, and acne reduction.Skin irritation, breakouts, redness, itching, allergic reactions, and increased sensitivity.
Chemical peelsResurfacing treatment that exfoliates the outermost skin layer by applying a chemical solution.Only light (superficial) peels are considered safe during breastfeeding.Acne and sebum control, fewer fine lines and creases, improved texture and tone, reduced hyperpigmentation, including melasma and age spots.Skin irritation, redness, dryness, peeling, flaking, mild discomfort, increased sensitivity to light, and skin inflammation.
MicroneedlingA device with ultra-fine, sterile needles creates micro-injuries to stimulate cell regrowth and collagen and elastin synthesis.Microneedling with radiofrequency or PRP.Induced collagen and elastin production, improved texture and firmness, fewer stretch marks, reduced under-eye circles, acne scars, and discoloration and sun damage.Redness, swelling, bruising, flaking, dryness, mild discomfort, breakouts, itchiness, and tenderness.
Laser treatmentsA laser device sends light energy, triggering collagen and elastin production and removing damaged outer skin layers.Low-intensity, non-ablative lasers and mild photofacials following a doctor’s approval.Improved texture and tone, reduction of fine lines, scars, pigmentation, spider veins, photoaging; hair removal.Redness, swelling, dryness, flaking, burning sensation, and mild discomfort.
Cosmetic acupuncture and acupressureInserting ultra-fine needles into the skin or applying deep and firm pressure to improve circulation and lymphatic flow, release tension, and relieve pain.Traditional body or facial acupuncture with fine needles or acupressure (a non-needle technique).Improves sleep, releases tension and reduces stress; lifts and firms sagging areas, reduces under-eye puffiness, and enhances skin radiance.Mild pain, soreness, and tenderness at pressure points. Rarely, temporary bruising and lightheadedness.
MassageApplying pressure to muscles, tendons, and ligaments to reduce tension and relieve pain.Lymphatic drainage massage, postnatal massage, gentle Swedish full-body massage, and therapeutic breast massage.Improves circulation, reduces puffiness, accelerates waste removal, helps unclog milk ducts and reduces engorgement, stimulates oxytocin, and promotes relaxation.Bruising, muscle soreness, breast tenderness, skin irritation, mild discomfort, blocked milk ducts, and infections.

Read more about the safest non-invasive aesthetic solutions that will make your skin healthy and radiant while breastfeeding.

Facial Treatments

Facials rejuvenate the skin by brightening tone, refining pores, smoothing texture, and clearing the complexion. They work by removing oil, debris, and impurities through techniques such as cleansing, steaming, exfoliation, extractions, masks, and the application of targeted serums or moisturizers.

The safety of a facial depends on the topical agents used during the treatment. The provider should use only breastfeeding-friendly serums that restore the microbiome, reinforce the skin barrier, and nourish the skin.

At Vibrant Skin, we offer the following momma-friendly facials:

  • Vibrant Signature Facial | $125 - A customized facial with stress-relieving frequency sound healing.
  • Acne Eraser | $125 – Reduces acne and prevents future flare-ups.
  • Remedy Facial | $125 – Suitable for sensitive and inflamed skin.
  • Oxygen Infusion | $165 - Deeply hydrates and revitalizes skin by infusing pure oxygen and nutrients.
  • HydraFacial | $250 – Targets fine lines, wrinkles, acne, and pigmentation issues with the infusion of serums and moisturizers.
  • HydraFacial Express | $175 – A quick 30-minute customized facial ideal for busy moms.

Note: Learn how Oxygen Infusion and HydraFacial treatments differ.


Light Chemical Peels

Chemical peels are a great anti-aging alternative to Botox, but not all peel types are suitable for the sensitive skin of breastfeeding mothers.

Skin experts recommend light (superficial) peels that gently exfoliate the outermost skin layer, revealing a brighter, smoother texture and complexion. During the procedure, the provider applies mild exfoliating agents, such as AHAs or BHAs, to reduce mild acne, discoloration, dryness, and fine lines and wrinkles.


Note: See how lasers compare to chemical peels and what skin benefits to expect.


Microneedling

Microneedling uses a device with tiny, sterile needles that puncture the skin, causing controlled damage and stimulating the production of collagen and elastin. The treatment tightens and rejuvenates the face, scalp, and body, resulting in smoother and plumper skin. It can also help alleviate hormonal acne and melasma, especially when combined with peels and laser treatments.

To avoid inflammation (e.g., mastitis), irritation, or injury, microneedling should not be performed around the nipple area.


Note: Learn how to combine Botox and microneedling and which treatment wins.


Laser Treatments

Laser treatment as an alternative to Botox while breastfeeding

Non-ablative laser treatments are minimally invasive and well-tolerated during breastfeeding. The procedure utilizes concentrated beams of light to enhance skin laxity, reduce discoloration, smooth textural irregularities, minimize acne scars, eliminate spider veins, and even out skin tone. Lasers are also commonly used to permanently remove hair from the face, arms, legs, and other areas.

The following laser treatments methods are considered safe for nursing mothers:

  • Laser hair removal - This treatment uses concentrated light energy to target and damage hair follicles, reducing or preventing hair growth without affecting the surrounding skin.
  • Photofacial or IPL (intense pulsed light) – A gentle laser that uses intense pulsed light energy to improve the color and texture of the skin and prevent premature aging.
  • BBL (BroadBand Light) – This laser uses more advanced technology than IPL, providing better precision, customizable wavelengths, and the ability to treat a wider range of skin conditions.
  • The Moxi™ laser – A gentle, non-ablative fractional laser treatment that delivers gentler wavelengths than BBL, suitable for all skin types.

Consult your healthcare provider to ensure your preferred laser treatment is safe and suitable for you.


Note: Learn the difference between laser treatments and microneedling and IPL vs. BBL.


Acupuncture and Acupressure

Acupuncture (using ultra-fine needles on precise points) and acupressure (applying firm pressure with the hands) are excellent for postpartum recovery. These traditional techniques help nursing mothers relieve stress, reduce tension, improve sleep, and enhance skin quality.

By stimulating nerves and muscles, they enhance circulation, reduce puffiness, and promote collagen production, resulting in smoother, firmer, and more radiant skin.

Massage

Stress affects the skin, often causing acne, psoriasis, and rosacea flare-ups. Massage is highly effective at reducing stress during those early days of motherhood, improving sleep, and inducing deep relaxation.

Postnatal massage supports toxin removal, stimulates blood flow, boosts oxygen delivery to the skin, alleviates muscle tension, and reduces postpartum puffiness and swelling. The result is a visibly brighter, tighter, and more radiant complexion.

At Vibrant Skin, you can schedule this massage:


Note: Learn how buccal (intraoral) massage can help tighten and contour your face.


Botox While Breastfeeding: Frequently Asked Questions

Read the answers to the most commonly asked questions concerning the safety of Botox while breastfeeding.

Is It Safe to Get Botox for Medical Reasons While Breastfeeding?

There are only a few limited studies about the safety of Botox on babies who are breastfed.

Since the amount of the neurotoxin used for cosmetic Botox treatments is minimal and can’t cause botulism, the assumption is that the levels injected during a treatment are not enough to enter breastmilk.

However, there are few studies that either confirm or refute this assumption. For this reason, Botox providers prefer to be on the safe side and recommend that women postpone the procedure until after nursing.


Note: Avoid topical and oral retinoids while breastfeeding to prevent health risks for the baby.


Does Botox Get into Breast Milk Supply?

There are no large-scale safety studies about infant botulism due to Botox injections. The toxin's large molecular weight makes it highly unlikely to pass into the mother's milk and enter the baby's bloodstream to cause poisoning.

How Long After Botox Can I Breastfeed?

There is no recommended waiting period between Botox treatment and breastfeeding, as data on the safety and potential side effects of neurotoxin injections for nursing mothers and their infants are limited.


Note: Find out how long after Botox it is safe to lie down, exercise, and drink alcohol.


Conclusion

Botox is an excellent treatment for a wrinkle-free, rejuvenated look. However, if you are nursing, it is best to postpone the procedure until after your baby has stopped breastfeeding. Limited studies suggest the procedure isn’t harmful, but without conclusive evidence, doctors recommend avoiding any potential risks to the baby.

Once you have finished breastfeeding, be sure to book a session with a trusted, reputable medical professional who has extensive experience, such as our Vibrant Skin specialists.

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About the Author:
Kristina Cadwell
PA Kristina Cadwell graduated from Arizona State University with a Bachelor of Science degree in Biology. She then completed the Physician Assistant program at A.T. Still University graduating with a Masters of Medical Science degree. Kristina has been working in the Aesthetic Medical field for over 10 years. She is certified in neurotoxin cosmetic injection, dermal fillers, Plasma Pen skin tightening, chemical peels, and laser therapy. She is known for producing natural results and has extensive knowledge in diet and exercise allowing her to help you achieve vibrant skin from the inside out.
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