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No data exist on the medical use of botulin A Botox during breastfeeding. However, it is not detectable systemically after intramuscular use, thus excretion into breast milk is considered unlikely. There will never be extensive studies on medications during lactation - it’s unethical to conduct them. Good news is that we do have extensive information on how medications transfer into breastmilk, and it’s the same application of that information no matter what the medication - we look at molecular size, half life, milk/plasma ratio, protein binding, oral availability, and others. While there are limited studies on specifically Botox and breastfeeding, the science of molecular weight holds. From "Medications and Mother's Milk:" “When injected properly, and directly into the muscle, the toxin does not enter systemic circulation. When maternal plasma levels are low, absorption into breast milk are very unlikely. Waiting a few hours for dissipation of any toxin would all but eliminate any risk to the infant. Also, avoid use of generic or unknown sources of botulinum toxin, as some are known to produce significant plasma levels in humans.” It’s always a good discussion to know who your providers are and what they are using on and in your body, whether or not you are breastfeeding. Correct education on risks and benefits can still happen and people can be allowed to do with that information as they please. Per the literature and research, Botox from a qualified provider is not expected by molecular weight to enter breast milk. Other chemicals from unknown fillers or injections could absolutely enter milk. Anyone who wants to use Botox while breastfeeding gets to make the choice whether they will wait until they have weaned, pump and dump, or not, as well as what quality provider they go to and what they request a provider to use. It’s always a good discussion to make sure every pro and con has been discussed and hopefully whoever posted will have better informed consent when making a choice for themselves When adequately and locally administered, serum levels of toxin should be low. Always discuss the risks and benefits of any procedure with a healthcare provider familiar with your unique healthcare history. If you have more questions and would like to schedule a private lactation consultation, please go to www.LALactation.com