By Alex Donald, Registered Nurse | 15 August 2026
This is one of the most important safety questions in appearance medicine, and the answer is clear: anti-wrinkle injections and dermal fillers should not be administered during pregnancy or while breastfeeding.
Anti-wrinkle injections contain botulinum toxin, which is a prescription medicine. While the amount used cosmetically is very small and localised, there is insufficient research on its effects during pregnancy and breastfeeding. The ethical and medical consensus is that the potential risk — however small — is not worth taking.
Manufacturers of both Dysport and Relfydess state that these products should not be used during pregnancy or breastfeeding. This is a clear contraindication, not a "maybe" or "ask your doctor."
While dermal fillers contain hyaluronic acid (which occurs naturally in the body), the same principle applies: there is insufficient safety data for use during pregnancy and breastfeeding. The cautious and medically responsible approach is to postpone treatment.
After pregnancy, you can resume cosmetic injectable treatments once you've finished breastfeeding. I recommend waiting at least 4 weeks after weaning before scheduling your appointment, to ensure hormonal levels have stabilised (which can affect how your skin and muscles respond to treatment).
While injectables are off the table during pregnancy, there are safe alternatives to support your skin:
Many skincare ingredients are safe during pregnancy, including:
Avoid: Retinoids (vitamin A), salicylic acid (in high concentrations), and hydroquinone. Always check with your lead maternity carer before starting any new skincare during pregnancy.
Non-invasive treatments like LED light therapy are generally considered safe during pregnancy. However, always consult your lead maternity carer first. Microneedling, chemical peels, and other active treatments should be postponed until after pregnancy and breastfeeding.
Pregnancy causes significant hormonal changes that affect your skin:
Once you've finished breastfeeding, I can help you develop a treatment plan to address these changes safely.
During pregnancy and breastfeeding, the health of you and your baby comes first. Cosmetic injectables can wait. Focus on pregnancy-safe skincare and enjoy the journey — your treatments will be here when you're ready.
Read more: Anti-wrinkle treatment | Dermal fillers | Side effects guide
Anti-wrinkle injections are prescription medicines. Dysport® (abobotulinumtoxinA 500 units) and Relfydess® (relabotulinumtoxinA 150 units) have risks and benefits. Ask your doctor if these treatments are right for you. Use only under medical supervision. For full details, see the Consumer Medicine Information at medsafe.govt.nz.
Contraindications: Pregnancy, breastfeeding, active infection at injection site, neuromuscular disorders, known hypersensitivity. For adults 18+ only.
Dysport sponsor: Ipsen Pty Ltd. Relfydess sponsor: Galderma Australia PTY LTD NZBN 9429051812249, NZ Distributor: Healthcare Logistics, Auckland.
This article is for educational purposes only and does not constitute medical advice. Individual results may vary. Cosmetic injectable procedures at Embrace Cosmetics are performed by Registered Nurse Alex Donald working under the medical direction and standing orders of Dr. Shareen Jacob.