
- Article published at:
- Article author: Emily Trampetti
- Article tag: Acne
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By Emily Trampetti, Licensed Esthetician + Skin Coach
Growing a human? Let’s make sure your skin feels supported too.
Pregnancy is such a special time—and your skin knows it too. While you’re focused on growing a baby, your body is going through a massive transformation behind the scenes. And that includes your skin!
As a licensed esthetician who loves supporting moms-to-be, I can tell you this: pregnancy skincare doesn’t have to be confusing or fear-based. With just a few shifts, you can keep your skin clear, calm, and radiant—without compromising safety.
Let’s start with what’s actually going on with your skin during pregnancy.
Every pregnancy is different, but there are some common changes that tend to show up in the skin:
This is often what gives you that famous “pregnancy glow.” With more blood volume comes a rosier complexion. But it’s important to keep that blood moving—so light movement, stretching, and circulation-boosting facials can help keep swelling and sluggishness at bay.
Thanks, hormones! For some, this means juicy, glowing skin. For others (especially if you’re already prone to breakouts and acne), it might trigger hormonal acne flare-ups.
Pregnancy hormones love to overstimulate melanin production. That means you might see more dark patches or uneven tone—what many call “pregnancy mask.” This often happens more often in those with darker compexions, but is common in the majority of my mommas-to-be. Daily SPF, stress management, keeping the skin COOL and safe pigment inhibitors (I'll talk more about these in a bit) are key here.
Stretching skin + hormonal shifts = skin that’s more reactive to heat, sun, certain ingredients, and even touch. So we have to tread gently. And don't be surprised if products that once were fine now give you some irritation.
Your skin is more vulnerable during pregnancy, and your baby’s safety always comes first. So there are a few treatments and ingredients I always recommend hitting pause on until after pregnancy (and often after breastfeeding too).
Advanced chemical peels
Microneedling
Laser treatments
Radio frequency skin tightening
Microdermabrasion
Cosmetic injectables (aka Botox®, Dysport®, fillers)
Spray tanning (the ingredient is okay, but inhalation is not recommended)
Tanning beds or prolonged sun exposure
Electrotherapy (high frequency, microcurrent, galvanic, etc.)
Even if something seems gentle, it can still be overstimulating to your already-sensitive skin. If you’re ever unsure—ask. I’m always here to help you weigh the risks and benefits. Usually it's not black and white!
This list might surprise you—but it’s better to be cautious and swap things out for now.
Retinoids – Including retinol, retinal, tretinoin, adapalene, Tazorac. While the prescription-strength retinoid acid studies have been linked to birth defects, there has not been much research on OTC forms like retinol and retinal. IMO, it's best to avoid them during this temporary time to be sure we're playing it safe.
Hydroquinone – A potent skin-lightening agent that absorbs easily into the bloodstream.
Essential oils – Many mimic hormones and can be overly stimulating or irritating. These are a prime example of the fact that natural doesn't always mean safe.
High-strength glycolic acid – Very small molecules = deeper penetration = more risk. Look for bigger molecules like Mandelic acid if you must use them.
Spray sunscreens – The actives are fine, but inhalation isn’t ideal during pregnancy.
These ingredients aren’t off-limits, but I recommend sticking to lower concentrations and always getting your OB or midwife’s opinion if you're unsure.
Ingredient | My Recommendation |
---|---|
Lactic, mandelic, malic, tartaric acids (AHAs) | Use ≤ 10% concentrations |
Salicylic acid (BHA) | ≤ 2% in cleansers or spot treatments |
Benzoyl peroxide | ≤ 5%, and preferably in wash-off products only |
It’s totally okay to be cautious here. I’ll help you design a routine that feels safe and effective.
Here’s where we shift the focus from fear to empowerment. There’s still a lot you can do to nourish, protect, and pamper your skin.
Enzyme-based facials using fruit acids or low-level AHAs like mandelic acid
Oxygen facials to boost circulation without heat or inflammation
Gentle hydration facials to restore and protect while building up your skin barrier
Lymphatic or acupressure facial massage (always ask your doctor first)
SPF
Non-negotiable! Choose a mineral-based or hybrid lotion-formula SPF that’s broad-spectrum SPF 30+. Some of my favs are:
Drugstore products: Sun Bum SPF, Coppertone Pure & Simple, CeraVe AM Moisturizer with SPF
Brightening & Melasma Prevention
Skip the hydroquinone and opt for gentle melanin suppressants. I stock:
Lira Clinical Pro Lite Serum
Janssen Cosmetics Fair Complexion Serum
Other great ingredients include: Vitamin C, azelaic acid, hexylresorcinol, kojic acid, licorice extract, green tea, bearberry, arbutin, sea fennel.
Hydration & Barrier Repair
You’ll want a mix of humectants (to draw in moisture) and emollients (to seal it in). Look for ingredients like Hyaluronic acid, glycerin, silver ear mushroom, urea, shea butter, jojoba oil, aloe vera, etc.
Some of my fav hydrating products are:
Aveeno Calm + Restore, CeraVe Hydrating Serum, Lira Clinical Bio Hydra Infusion
Exfoliation
Just 1–2 times per week is enough. Choose gentle enzymes or mild acids. I recommend:
Lira Clinical Bio Enzyme Cleanser
Biodroga Phyto Therapy Healing Moor Peeling Mask
Janssen Oily Peeling Powder (especially for acne-prone skin)
You’re not alone, and no—you didn’t do anything wrong.
Pregnancy acne can show up due to surging progesterone levels and increased oil. A safe and effective routine might include:
A 2% salicylic acid cleanser
Gentle hydration serums + barrier repair cream
Mineral SPF
Weekly enzyme exfoliation
This is where a licensed esthetician (hi, that’s me) can really help. Let’s create something customized just for you—your skin, your trimester, and your comfort level.
I know this is a lot to take in. But please don’t feel like you have to pause all your skincare during pregnancy. There are still plenty of ways to care for your skin, safely and intentionally, with results that feel as good as they look.
And when you work with someone who knows the science (and sees the whole picture), it’s easier to cut through the fear and just focus on feeling supported.
💻 Book a virtual pregnancy-safe skincare session
📍 Or visit me in Winter Garden for a calming, customized treatment
🛍️ Need curated products? Shop esthetician-approved skincare
I’m here for your glow—through every trimester and beyond. ❤️