PROMETHEAN CLINIC, VANCOUVER
Treatments During Pregnancy and Breastfeeding
What we decline, what we assess, and why. Tell us when you book.
- Rated 5.0 from 259 Google Reviews
- Nurse Practitioner Led, Physician Supported
- 1111 West Georgia Street
TELL US FIRST
Say It When You Book, Not When You Are on the Table
If you are pregnant, might be, or are breastfeeding, tell us before your appointment. Not because we will lecture you, and not because it rules everything out, but because it genuinely changes what our nurses can offer you safely, and finding out in the treatment room means an appointment that cannot go ahead.
It is confidential. It goes on your chart and nowhere else. Say it even if you are early and have not told anyone else yet, because early is exactly when it matters most and exactly when nobody thinks to mention it.
To be straight with you, this is a blanket no. We do not carry out aesthetic treatment while you are pregnant or breastfeeding, and that covers injectables, energy devices, lasers, peels, microneedling and our IV therapy alike. Almost none of it has been studied in this group, because those trials are not run, and elective treatment does not get the benefit of the doubt.
PATIENT TRUST
In Experienced Medical Hands
Your treatment is planned and delivered by Promethean’s licensed medical team, nurse practitioner led and physician supported. Aesthetics is practiced here as medicine, not retail.
259
Five Star Google Reviews, Rated 5.0 Overall
Recently went for IV therapy after a bout of sickness. The clinic space is beautiful and Parveen was incredibly helpful. The treatment worked great too, I was feeling brand new the next day!
WHERE EACH TREATMENT SITS
What We Decline, and What You Can Still Do
Declined While Pregnant or Breastfeeding
- Botox and the other neurotoxins. Botulinum toxin type A has no adequate human safety data in pregnancy or lactation, and the product information advises against use. It is elective, so it waits.
- Dermal fillers, Sculptra and Radiesse. None of the injectable volumisers have been studied in this group, for the obvious reason that nobody runs those trials. There is no evidence of harm and no evidence of safety either, and an elective treatment does not get the benefit of the doubt.
- Thread lifts. An elective procedure carrying an infection risk, with no safety data in pregnancy or breastfeeding.
- Radiofrequency and energy devices. Morpheus8, Quantum RF, Forma and EvolveX are contraindicated in pregnancy by the manufacturers themselves. That is not a judgement call we make locally.
- Lasers and IPL. The energy does not reach a pregnancy, and that is not why we wait. Pregnancy changes hair growth and makes skin far more prone to pigmentation, including melasma, so the treatment becomes unpredictable and more likely to leave a mark you did not want.
- Microneedling, PRP and PRF. PRP and PRF use your own blood, so the material is not the issue. The controlled skin injury and the raised pigmentation risk are.
- Chemical peels. Depth and agent would normally decide this, and pigmentation risk is meaningfully higher in pregnancy. Rather than draw a fine line through it, we wait.
- IV therapy and vitamin injections. This includes the Myers cocktail, NAD, glutathione, B12, B complex, biotin, MIC and L carnitine. Some of these would be unremarkable in isolation and B12 is a normal part of prenatal supplementation. But an elective infusion is not the right route for it while you are pregnant or feeding, and your doctor or midwife is the right person to manage your supplementation.
One exception, and it matters. If filler needs to be dissolved urgently because of a vascular occlusion, that is a medical emergency and treating it comes first.
What You Can Still Do
- A consultation still makes sense. You can be assessed, ask everything you want to ask, and leave with a written plan for afterwards. There is no pressure to book anything, and nothing expires.
- Skincare is the exception. Topical routines can usually continue with adjustments, and some active ingredients need to come out. That is a conversation worth having now rather than guessing from the internet.
- Your face will change anyway. Pregnancy and the months after it shift volume, pigmentation and skin quality. An assessment done afterwards is worth far more than resuming a plan drawn up beforehand, so waiting is not lost time.
- Come back when you are ready. For everything on this page, that means after birth if you are not breastfeeding and your care provider is happy, or once you have stopped breastfeeding. That timeline belongs to you and your maternity care provider, not to us.
Saying no to a treatment is not the same as being no use to you.
HOW WE PRACTICE
The Promethean Standard, Applied
The same four disciplines govern every treatment we offer, including this one. This is what medically led means in practice.
- 01
Assess
A medical assessment of your health history, your anatomy, and your goals, and an honest answer on whether this treatment is right for you at all.
You leave knowing what is realistic for you.
- 02
Plan
A written plan for your treatment: dosing or settings, timing, cost, and what it will and will not change. Nothing added that does not serve the outcome.
You know exactly what to expect, and why.
- 03
Treat
Conservative technique from our nurse practitioner led, physician supported medical team, in our purpose built clinic at 1111 West Georgia Street.
You look like yourself, rested and well.
- 04
Care
Follow up to review your result, plus wellness and longevity support under one roof, over years rather than appointments.
A clinic that knows your whole picture.
COMMON QUESTIONS
Questions We Are Asked Most
Straight answers, the same ones you would get in the treatment room.
- Can I have Botox while breastfeeding?
- We do not treat while you are breastfeeding. To be straight with you about why: botulinum toxin is a large molecule and it is not thought to pass into breast milk in any meaningful way, so the theoretical risk is low. But low theoretical risk is not the same as demonstrated safety, no study has been done that would let anyone promise you the latter, and this is an elective treatment. We would rather you waited than took a risk nobody has actually measured on your behalf.
- I did not know I was pregnant when I was treated. Should I worry?
- Speak to your doctor or midwife so it is on your record, and tell us so it is on ours. Then try not to lose sleep over it. Treatments given before someone knew they were pregnant are common, and there is no established pattern of harm from a single aesthetic treatment. The advice to avoid these things is precautionary rather than a response to known damage. Your maternity care provider is the right person to reassure you properly.
- Why will you not just let me decide for myself?
- Because you cannot give informed consent to a risk that nobody has quantified, and it would not be honest of us to pretend otherwise. If there were data showing a treatment was safe in pregnancy, we would show it to you and let you choose. For most of what we do, that data does not exist. Declining is not us being cautious with your autonomy, it is us not having the information the decision requires.
- Do I have to tell you if I am very early on?
- Yes, and it is the single most useful thing you can say. It is confidential, it goes no further than your chart, and it changes what we can safely offer you. Nobody will ask you follow up questions or make it a conversation. If you are not ready to say the word, saying that a treatment might not be suitable right now is enough to start the discussion.
- When can I start again after giving birth?
- For anything on the declined list, once you have stopped breastfeeding. If you are not breastfeeding, once you have recovered from the birth and your care provider is happy, and that timeline is theirs to set rather than ours. Be aware that faces change through pregnancy and the postpartum months, so an assessment done now is worth more than resuming whatever plan you were on beforehand.
General information, not medical advice for your situation. Your own doctor, midwife or our nurses should make the call for you specifically. Last reviewed by our clinical team before publication.
Visit
1111 W Georgia St Suite 1330Vancouver, BC V6E 4M3
Hours
Monday to Friday, 10am to 6pm
Saturday and Sunday, 10am to 5pm
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