Caring for Your Skin During Pregnancy: What RealLy Matters

Written by Dr. Antoni Calmon, French Cosmetic Doctor.

Pregnancy is a season of change — for your body, your emotions, and your skin. While every woman’s experience is different, certain skin changes are common and completely normal. From stretch marks to melasma, hydration to safe treatments, this guide will help you feel informed, supported, and confident in your skin throughout your pregnancy.

Stretch Marks: What You Can Do

Stretch marks (or striae) are incredibly common. They appear as red, purple, or silvery streaks as the skin stretches, especially across the belly, breasts, hips, and thighs.

What helps:

• Apply a fragrance-free moisturiser or body oil twice daily.

• Massage gently into areas prone to stretching to improve elasticity.

• Support your skin from the inside out: drink water and eat foods rich in vitamin C, collagen, and healthy fats.

Reality check: No cream can fully prevent stretch marks. But consistent hydration and gradual weight gain can reduce their severity. Most stretch marks fade significantly after birth. If some remain, fractional radiofrequency or microneedling with a trusted medical provider can help reduce their appearance postnatally.

Melasma: The “Mask of Pregnancy”

Melasma, also called chloasma, is a common pigmentation issue during pregnancy — usually appearing as brown or grey-brown patches across the cheeks, upper lip, or forehead. It’s caused by hormonal shifts and increased sensitivity to the sun.

What helps:

• Daily sunscreen (SPF 50+), even on cloudy days.

• Wear wide-brimmed hats and sunglasses outdoors.

• Use a gentle vitamin C serum in the morning to brighten skin safely.

Important: Avoid hydroquinone, retinoids, and strong acids during pregnancy. Melasma often fades postnatally, though it may persist if not properly managed with sun protection.

Dryness, Sensitivity & Hydration

Some women notice their skin becomes dry, itchy, or reactive. This is due to hormonal changes and increased blood flow.

Tips for comfort:

• Use mild, fragrance-free cleansers and moisturisers.

• Keep skin hydrated — morning and evening.

• Consider using a humidifier if your home has dry air.

• Drink enough water to support your skin and overall well-being.

Breakouts and Oily Skin

While some women experience dryness, others struggle with acne flare-ups, especially in the first trimester.

What’s safe to use:

• Gentle foaming cleanser (non-comedogenic)

• Azelaic acid (generally considered safe)

• Low-strength glycolic acid (in moderation)

Avoid: Retinoids, high-dose salicylic acid, and harsh chemical treatments.

Fine Lines, Glow & Fatigue

Not every pregnancy glow is golden. Dehydration, lack of sleep, or stress can make skin look dull or lined.

Support your skin with:

• Nourishing oils and gentle facial massage

• Hydrating serums (like hyaluronic acid)

• Quality sleep (or rest, when possible)

Try skin-cooling tools (like jade rollers) or lymphatic drainage massage to reduce puffiness and encourage circulation.

Safe Skincare & Treatments During Pregnancy

Many mums-to-be wonder what professional treatments are pregnancy-safe.

Safe to enjoy:

• Hydrating facials

• Light exfoliation

• Mesotherapy (without contraindicated ingredients – check with your provider)

• Lymphatic drainage massage

Best postponed until after birth:

• Botox & fillers

• Retinoid-based treatments

• Deep chemical peels

• Laser resurfacing.

  
  

Always check with your GP or OB before starting any new treatment.

Supporting Skin Through Body Changes

Your body is expanding — and your skin is doing its best to keep up. Supporting gradual, steady weight gain (as advised by your doctor) is one of the most effective ways to protect skin health.

Smart supports:

• Soft, breathable maternity wear to reduce irritation

• Movement — such as prenatal yoga, walking, or swimming — to support circulation

• Compression socks to help reduce swelling

• Manual lymphatic drainage by a trained physiotherapist or osteopath

Quick Recap: Skin Tips for Pregnancy

✅ Hydrate — from the inside and out

✅ Protect skin from the sun daily

✅ Avoid harsh treatments and opt for gentle care

✅ Embrace natural changes and give your skin time

✅ Seek professional advice if you’re unsure

Be kind to your skin — and to yourself. Your body is doing something extraordinary. While you may notice new lines, marks, or sensitivities, these are all part of the transformation.

Every change tells the story of life growing inside you.

With time, care, and support, your skin will adapt and recover — just as you are.