Ask the Experts
Botox While Pregnant
Is it safe to use Botox for cosmetic purposes while pregnant?
No. Botox hasn’t been tested for use during pregnancy, so we don’t know if it can harm a baby in utero, according to George Macones, M.D., chairman of obstetrics and gynecology at Washington University in St. Louis, Mo. Botox is a class C drug, which means it should only be used during pregnancy if its benefits outweigh the potential for risk. A form of the toxin created by the Clostridium botulinum bacterium, Botox works by blocking the chemicals that otherwise signal a muscle to contract. It’s used cosmetically to smooth facial wrinkles, and medically to control severe muscle spasms resulting from cerebral palsy, a head or spinal cord injury, or multiple sclerosis. “In my opinion, cosmetic reasons are not acceptable for using a drug we know so little about in pregnancy,” Macones says.