If you are pregnant or breastfeeding and weighing cosmetic Botox in Ann Arbor, Michigan, the first question is whether to treat at all. Start with what a public health reference says, then decide what to ask your provider.
What the health reference says
According to medlineplus.gov, "You should not use Botox if you are pregnant or breastfeeding." That one sentence is the starting point for any conversation about Botox during pregnancy or nursing.
Where the brand research fits
Botox is one of several botulinum toxin products. A PMC article on the neurotoxin content of Dysport, Botox and Xeomin covers all three brands and takes up potential implications for duration of response.
What a pause does to upkeep
If you are told to wait, ask how long the wait runs and what you should expect from your skin in the meantime. Duration of response is worth understanding before you plan around a pause.
A general reference on botulinum toxin
For a broader overview of the product family, DermNet's page on botulinum toxin, Botox and Dysport is a useful second read. It sits outside the pregnancy question, so treat it as background, not as clearance to treat.
Questions to settle before you book
Tell every provider you see whether you are pregnant, trying to conceive, or nursing, and ask them to name the source behind their advice. The botulinum toxin therapy FAQs on aad.org are a reasonable place to bring your list of questions.
The question to ask before committing is simple: given my situation today, is there any reason to wait, and how will we pick the treatment back up afterward?