Pregnancy and Skin

A woman’s body changes dramatically when she is expecting, and her skin follows suit. We frequently see skin issues in pregnant women in our office. Stretch marks, or striae, are one of the most common and nearly inevitable results of pregnancy. Although they are nearly impossible to avoid, there are some treatments available post-pregnancy and post-breastfeeding. For stretch marks that are pink or red, dermatologists can use lasers to bring them back to flesh-colored. Topical retinoids may be helpful for treatment (but remember—retinoids should not be used during pregnancy or breastfeeding). In some cases, fractional laser treatments may show improvement. Although nothing has been medically proven to prevent these marks, mild to moderate exercise and moisturizing may be helpful. Brown blotchy spots on the face often occurs and is known as the “mask of pregnancy” or melasma. Production of pigment is increased in pregnancy, and many women find that they will develop these patches. Diligent sunscreen use is key in preventing these spots. Post-pregnancy and breastfeeding, your dermatologist has a host of tools she/he can use to try to lighten these spots, including prescription bleaching creams, chemical peels, and intense pulsed light treatments. As a result of increased pigment production, other areas on the body, such as freckles, moles, nipples, areolas, and labia, can become even darker. Any mole that is changing should be examined by a dermatologist as skin cancers like melanoma can develop at any time. Many women find that they develop or have worsening of their acne during pregnancy, due to increased oil production from hormones. It’s important to see your dermatologist for a good treatment regimen, as many prescription and over the counter medications for acne contain ingredients that are not considered safe for use in pregnancy. For example, benzoyl peroxide, which is a common ingredient in many acne cleansers, is a category C medication, which is usually not recommended in pregnancy. Varicose veins and spider veins often appear on the legs during or post pregnancy. A combination of increased blood flow and volume, leaky valves in the veins, and genetics often accounts for the formation of veins. Prevention includes avoidance of standing or sitting for long periods of time, walking, elevating your legs, wearing support stockings, and avoiding excessive weight gain. Pregnancy is a wonderful time, but sometimes can leave your skin less than perfect. See us at SBD today for a new, improved you.