I was counting on the radiant pregnancy glow. I was prepared for stretch marks. What I wasn’t prepared for was how much pregnancy would change my skin – and my entire skincare routine.
The day I found out I was pregnant, I was booked for a facial. I climbed onto the treatment bed and casually asked what we were doing that day.
“Chemical peel,” she replied.
That was the moment I realised I had absolutely no idea what was safe during pregnancy.
If you’ve just found out you’re pregnant and are now staring at your bathroom shelf wondering what needs to go, here’s what you need to know.
How Does Pregnancy Affect Your Skin?
Pregnancy hormones, increased blood volume and changes to your immune system all affect your skin.
Common changes include:
- Increased pigmentation (melasma or “pregnancy mask”)
- Acne or congestion
- Dry, itchy or sensitive skin
- Broken capillaries
- Stretch marks
- Changes in oil production
Some women glow. Others feel like their skin has completely revolted. Both are normal.
Does “Pregnancy Glow” Really Exist?
Yes, and it’s mostly due to increased blood circulation and higher oestrogen levels. Your skin retains more moisture, which can make it appear plumper and smoother.
But that same hormone surge can also trigger pigmentation and breakouts.
Pregnancy skin is unpredictable.
Skincare Ingredients to Avoid During Pregnancy
This is where most of the confusion lies.
1. Retinol / Retinoids (Vitamin A Derivatives)
Retinol is the gold standard for anti-ageing, acne and pigmentation. Unfortunately, it’s not recommended during pregnancy.
High doses of vitamin A taken orally have been linked to birth defects. While topical retinol absorbs far less into the bloodstream, most medical professionals advise avoiding it as a precaution.
If you're pregnant, it's safest to pause retinol until after birth.
2. Chemical Peels
Deep chemical peels are generally avoided during pregnancy due to increased skin sensitivity and absorption concerns.
Superficial treatments may be considered in some cases, but always discuss with your healthcare provider and practitioner first.
3. High-Dose Salicylic Acid (BHA)
Oral salicylic acid (such as aspirin in high doses) is not recommended in pregnancy.
Low concentrations in over-the-counter topical products are generally considered low risk, but many professionals suggest limiting use or switching to gentler alternatives during pregnancy.
4. Botox & Cosmetic Injectables
There is very limited research on the safety of Botox or dermal fillers during pregnancy.
Because controlled studies on pregnant women are ethically impossible, most doctors recommend postponing injectables until after pregnancy and breastfeeding.
In short, it’s not proven unsafe — but it’s not proven safe either.
Pregnancy-Safe Skincare Alternatives
If retinol is out, what can you use?
Vitamin C
Vitamin C is widely regarded as safe during pregnancy and helps with:
- Brightening pigmentation
- Supporting collagen production
- Reducing oxidative stress
Hyaluronic Acid
Hydrating and pregnancy-safe, hyaluronic acid helps maintain plumpness and skin barrier function.
Gentle Exfoliation
Lactic acid in low concentrations is often considered milder than stronger acids and may be better tolerated.
Sunscreen (Non-Negotiable)
Pregnancy pigmentation is triggered by sun exposure. Daily broad-spectrum SPF is essential.
Wide-brim hats and avoiding peak UV times help too.
What About Stretch Marks?
The evidence on preventing stretch marks is mixed. Genetics plays a large role.
However, keeping skin moisturised may reduce itchiness and improve comfort as your skin stretches.
Massaging your bump can also become a calming nightly ritual — even if the long-term impact on stretch marks is debated.
Hair Changes During Pregnancy
Hormones can affect your hair just as dramatically as your skin.
You may experience:
- Thicker, fuller hair
- Oily or dry texture changes
- Increased shedding postpartum
Nutrition plays a major role here. Whole foods, healthy fats, iron and adequate hydration all support hair health.
Beyond Products: What Actually Matters
Skincare during pregnancy isn’t just about what you put on your face.
Hydration
Dehydrated skin looks dull and tired. Staying hydrated supports both your skin and your growing baby.
Nutrition
Healthy fats, leafy greens, nuts and seeds contribute to skin resilience and glow.
Sleep
Collagen repair happens overnight. Exhaustion shows on your skin before almost anywhere else.
Tired mum equals tired skin.
Stress Management
Cortisol influences inflammation and breakouts. Gentle movement, fresh air and rest often do more than another serum ever will.
The Bottom Line
Pregnancy is temporary. Your skin routine may need to simplify for a season.
If you're unsure about a product, bring it to your midwife, GP or dermatologist. When in doubt, pause it.
Pregnancy is not the time for aggressive treatments — it’s the time for gentle care, protection and patience.
Your glow will return in its own time.