Pregnancy & breastfeeding: what is possible, what is not.
In short: botulinum toxin, hyaluronic acid, PRP and injection lipolysis are not carried out during pregnancy and breastfeeding. Not because harm is proven – but because it cannot be ruled out.
Why aesthetic injections are not carried out during pregnancy and breastfeeding, what the evidence says, alternatives and when treatment is possible again.
Why we wait.
The evidence is the reason. For none of the aesthetic injection treatments are there studies in pregnant or breastfeeding women – and for ethical reasons there never will be. Manufacturers exclude these periods in their product information. Without data, no treatment; that is not caution on principle but a physician's duty of care.
Botulinum toxin: the substance acts locally on the muscle, and no harm is known from accidental treatments in early pregnancy. That is reassuring if it has already happened – but no reason to do it deliberately.
Hyaluronic acid: hormonal changes in pregnancy alter water retention, swelling tendency and skin circulation. Results are less predictable, and safety data are lacking here too.
What is possible: a consultation – gladly during pregnancy, to plan ahead. Consistent sun protection, gentle skin care. And the time after weaning: then all treatments are possible again; a gap of a few weeks after weaning is usual.
When trying to conceive: treatment is possible as long as there is no pregnancy. Anyone actively trying should discuss timing with the physician; after a treatment carried out unaware of an early pregnancy there is, on current knowledge, no reason to panic – please just get in touch.
The essentials.
A question about Pregnancy & breastfeeding? Send us a short WhatsApp message – we usually reply the same working day.
Ask via WhatsAppImportant note.
This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.
Frequently asked questions.
I didn't know I was pregnant and had Botox. What now?
No harm is known from such cases. Please inform your gynaecologist and us; further treatment only after breastfeeding.
Can I breastfeed and have filler?
No. We treat only after weaning.
Are infusions possible during pregnancy?
Only with a medical indication and in consultation with your gynaecologist – the 'beauty' infusions are not among them.
When after the birth can I come back?
After weaning, with a gap of a few weeks. For a consultation, any time.
Sources and further reading.
- § 630e BGB – duty to inform before treatment (German Civil Code)
- GOÄ – German scale of medical fees (official text)
- § 11 HWG – ban on before/after images and advertising promises
- Professional code of the Medical Association North Rhine
- NHS: non-surgical cosmetic procedures
- Medical Association North Rhine – patient information
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)