Skin Changes in Early Pregnancy

From the famous pregnancy glow to unexpected breakouts, your skin can change a lot in early pregnancy. Here's what to expect and how to care for your skin safely.

Table of Contents

1. Common Skin Changes in Early Pregnancy
2. Why Your Skin Changes
3. Safe Skincare in Pregnancy
4. Ingredients to Avoid
5. FAQ

Common Skin Changes in Early Pregnancy

• Pregnancy glow: Increased blood volume and oil production can give skin a healthy radiance.
• Acne and breakouts: Rising androgens boost oil production, causing spots, often on the chin and jaw.
• Pigmentation changes: Some women notice darker patches (melasma or chloasma), especially on the face.
• Linea nigra: A dark line may appear down the centre of your abdomen.
• Darker nipples and freckles: Existing moles and freckles may darken.
• Sensitive or dry skin: Hormone changes can make skin feel drier or more reactive.
• Stretch marks: These usually appear later, but skin begins stretching early on.
• Spider veins: Increased blood flow can cause tiny visible veins.

Not everyone experiences all of these — every pregnancy is different.

Why Your Skin Changes

• Oestrogen and progesterone increase blood flow and stimulate pigment-producing cells.
• Androgens rise, boosting oil production and triggering acne.
• Increased blood volume — up to 50% more — gives skin that glow but can also cause veins to show.
• Melanocyte-stimulating hormone increases, causing pigmentation changes.
• Stretching skin as the uterus grows affects connective tissue.

These changes usually begin in the first trimester and evolve throughout pregnancy.

Safe Skincare in Pregnancy

• Cleanse twice daily with a mild, fragrance-free cleanser
• Moisturise daily with an oil-free or non-comedogenic product
• Use sunscreen daily: SPF 30 or higher helps prevent and limit melasma
• Choose fragrance-free products: Reduce the risk of sensitivity
• Stay hydrated: Water supports skin health from within
• Eat a balanced diet: Vitamins A, C and E support skin
• Use gentle exfoliants: Glycolic acid or lactic acid in low strengths are usually safe

Ingredients to Avoid

• Retinoids (retinol, tretinoin, isotretinoin) — linked to birth defects
• High-dose salicylic acid in strong concentrations
• Hydroquinone (skin lightening)
• Chemical sunscreens with oxybenzone — choose mineral options instead
• Phthalates and parabens where possible
• Essential oils not confirmed safe in pregnancy

Always check with your pharmacist or midwife if unsure about a product.

Frequently Asked Questions

Yes! Increased blood volume and oil production can give skin a healthy sheen. Not everyone gets it, though — some women find pregnancy makes their skin worse before it gets better.

When do skin changes start in pregnancy?

Many women notice changes — breakouts, dryness or sensitivity — in the first trimester as hormones surge. Pigmentation changes often appear later.

Will my skin go back to normal after pregnancy?

Most skin changes, including acne and melasma, fade after birth as hormones settle. Stretch marks may lighten but usually don't disappear entirely. Sun protection during pregnancy helps minimise lasting pigmentation.

This article is for informational purposes only and does not constitute medical advice. Always consult your healthcare provider.

Last reviewed: June 2026

Further reading:

• NHS — Common pregnancy symptoms

Related articles:

• Acne in Early Pregnancy
• Pregnancy Symptoms Complete Guide
• When Do Pregnancy Symptoms Start?