Can Lip Fillers Cause Birth Defects: Safety Guidelines for Pregnancy

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

The question of whether lip fillers can cause birth defects is a concern for expectant mothers considering cosmetic enhancements. Current medical advice leans towards caution, with a general recommendation to avoid lip fillers during pregnancy and breastfeeding.

While there is no concrete evidence linking lip fillers to birth defects, the lack of comprehensive studies on pregnant women and the potential for complications during a time of significant hormonal changes suggest that postponing such treatments is the safest option. For those with pre-existing fillers, the agreement is that they are generally safe, as they tend to remain localized and do not migrate through the body. However, if concerns arise, consulting with a healthcare provider is essential.

Lip Fillers and Pregnancy: An Overview

Pregnancy is a time of heightened safety concerns, especially when it comes to elective cosmetic procedures. This section delves into the general safety considerations and FDA recommendations regarding lip fillers during pregnancy, as well as the stability of pre-existing fillers.

Pre-Pregnancy Considerations

Stability and Longevity of Pre-Existing Fillers: For individuals with lip fillers done before pregnancy, the concern about their impact on fetal development is understandable. However, the nature of hyaluronic acid-based fillers, which are the most common type, is such that they remain stable within the injection site and do not travel through the bloodstream. This localized stability suggests a low risk to the developing fetus. Over time, the body naturally breaks down these fillers, and they dissipate without the need for intervention. In cases where dissolving the fillers is considered, the enzyme hyaluronidase can be used, although this carries its own risks, including potential allergic reactions. Ultimately, the decision to intervene with pre-existing fillers should be made in consultation with a healthcare provider, taking into account the individual’s health, the pregnancy’s progression, and the type of fillers used.

Options for Dissolving Fillers (Hyaluronidase Allergic Reactions): For individuals considering the removal of lip fillers during pregnancy, hyaluronidase presents a viable option. This enzyme is used to dissolve hyaluronic acid-based fillers, accelerating the natural breakdown process. While generally safe, there is a risk of allergic reactions to hyaluronidase, which can range from mild irritation to more severe responses. Pregnant women, already dealing with an intensified immune response, may be particularly susceptible to such reactions. Therefore, the decision to use hyaluronidase should be carefully weighed against the potential risks, and only undertaken if deemed necessary by a medical professional. It’s crucial to have a thorough discussion with a healthcare provider about the safety and timing of such a procedure during pregnancy.

Risks and Safety Concerns

Exploring the potential risks and safety concerns associated with lip fillers during pregnancy is essential for making informed decisions. This section will cover the possible allergic reactions, treatment complications, and the precautionary principle that guides cosmetic treatments during this sensitive period.

Potential Risks and Precautions

Allergic Reactions and Treatment Complications: The use of lip fillers, like any medical procedure, carries the risk of allergic reactions. These can manifest as swelling, redness, itching, or more severe symptoms such as anaphylaxis. During pregnancy, the body’s immune system is in a state of flux, which could potentially exacerbate these reactions or alter the way the body responds to foreign substances. Additionally, treatment complications such as infections or unsatisfactory aesthetic results may pose further risks. It is crucial for pregnant women to discuss all potential risks with their healthcare provider and to consider deferring elective cosmetic procedures until after pregnancy and breastfeeding.

The Precautionary Principle in Cosmetic Treatments: The preventive principle is a guiding framework in medicine that advocates for erring on the side of caution, especially when there is a lack of conclusive evidence. In the context of cosmetic treatments during pregnancy, this principle advises against taking unnecessary risks that could impact maternal or fetal health. Given the absence of comprehensive studies on the safety of lip fillers during pregnancy, the preventive principle suggests postponing such treatments. This conservative approach prioritizes the well-being of the mother and child over aesthetic desires, ensuring that health considerations take take priority.

The Absence of Conclusive Studies on Birth Defects

Current Data and Recommendations: Despite the growing popularity of cosmetic procedures, there remains a notable lack of conclusive studies on the relationship between lip fillers and birth defects. The data available is limited and does not provide a definitive answer. Consequently, healthcare providers recommend that women avoid lip fillers during pregnancy and breastfeeding. This recommendation is based on the principle of minimizing risk and ensuring the safest possible environment for fetal development. Women who are pregnant or planning to become pregnant are advised to discuss any concerns with their healthcare provider and to consider delaying cosmetic treatments until after the postpartum period.

Waiting Until Post-Pregnancy and Breastfeeding: The consensus among healthcare professionals is that women should wait until after pregnancy and breastfeeding before undergoing lip filler procedures. This waiting period ensures that any potential risks to the baby are avoided, as the effects of fillers during these stages are not fully understood. Post-pregnancy, the body gradually returns to its pre-pregnancy state, and hormone levels stabilize, making it a safer time for cosmetic treatments. Additionally, waiting until after breastfeeding is crucial because it eliminates the concern of any substances potentially passing to the infant through breast milk. Women considering lip fillers postpartum should still consult with their healthcare provider to discuss the appropriate timing and any individual considerations that may affect the decision to proceed with the treatment.

Frequently Asked Questions

Is it safe to get lip fillers while I'm pregnant?

It is generally recommended to avoid lip fillers during pregnancy due to the lack of research on their safety for the developing fetus.

Can pre-existing lip fillers affect my pregnancy or baby?

Pre-existing lip fillers are not known to affect pregnancy or the baby, as they tend to remain localized and do not migrate through the body.

What should I do if I had lip fillers before knowing I was pregnant?

If you had lip fillers before knowing you were pregnant, consult with your healthcare provider for personalized advice, but generally, there is no need for immediate concern as fillers usually stay localized.

Are there any safe alternatives to lip fillers during pregnancy?

While there are no direct alternatives to lip fillers that are recommended during pregnancy, focusing on natural lip care and makeup techniques can be safe ways to enhance lip appearance.

How long after giving birth or breastfeeding should I wait before getting lip fillers?

It's best to wait until after you have finished breastfeeding to ensure that any substances from the fillers do not pass to the baby through breast milk.


In conclusion, while lip fillers are a popular cosmetic treatment, their safety during pregnancy and breastfeeding remains uncertain due to a lack of comprehensive studies. The medical community advises against their use during these periods as a precautionary measure to protect both mother and child. For those with pre-existing fillers, there is no evidence to suggest a risk to pregnancy, but any concerns should be discussed with a healthcare provider. Ultimately, waiting until after pregnancy and breastfeeding is the safest course of action for those considering lip fillers.

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Trivedi, M. K., Kroumpouzos, G., & Murase, J. E. (2017). A review of the safety of cosmetic procedures during pregnancy and lactation.

Garg, A. M., & Mysore, V. (2022). Dermatologic and Cosmetic Procedures in Pregnancy.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.