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Botulinum toxin should not be used in women who are pregnant or breastfeeding. The manufacturers have not performed clinical studies in this group, for obvious reasons, although it is not thought to be dangerous to developing babies.
If you are currently trying for a baby, it might be wise to delay any cosmetic treatment.
Patients who have any diseases that affect muscle activity, may not be suitable for botulinum toxin injections. You must discuss this with your practitioner. Your practitioner may also ask you if you have a history of Bell's palsy as this may affect the dosage that they use.
If you have any bleeding disorders or are taking drugs that affect bleeding time, or certain aminoglycoside antibiotics, your practitioner may advise against treatment.
You should be prepared to tell your practitioner about any medication which you are taking and any allergies you have.