Safe Acne Treatments During Pregnancy And Breastfeeding

Pregnancy is often described as one of life’s most beautiful journeys. Many women experience that much-talked-about “pregnancy glow”, with brighter skin, shinier hair, and a natural radiance that’s hard to miss. But behind that glow is a complex symphony of hormonal changes taking place, and not all of them are as glamorous as the glow itself.

Among the less desirable effects of pregnancy is acne. While it might feel like something only teenagers struggle with, many women find themselves facing new or worsening acne during pregnancy and breastfeeding. These breakouts can be frustrating and sometimes painful, especially when you’re already dealing with so many other physical and emotional changes. And what’s more, not every acne treatment is safe during this delicate period, so it’s important to understand your options.

Why does pregnancy trigger acne?

During pregnancy, your body produces more androgens¹, also known as hormones that stimulate the sebaceous glands in your skin. These glands produce sebum, an oily substance that can clog pores and lead to breakouts. This is especially common during the first and second trimesters. The hormonal rollercoaster can also lead to skin being more sensitive, which means that certain skincare products or routines that worked well before may now cause irritation or worsen acne.

After giving birth, breastfeeding continues to influence hormone levels. For some mums, acne lingers throughout the nursing period, while for others, it may subside once the body begins to return to its pre-pregnancy state.

Treatments to avoid during pregnancy and breastfeeding

Not all acne treatments are pregnancy- or breastfeeding-safe. Some ingredients, while effective in clearing breakouts, can pose risks to the developing baby or nursing infant. That’s why it’s essential to read labels carefully and consult a qualified skin dermatologist in Singapore before starting any treatment.

1. Oral retinoids (e.g., isotretinoin)

This is a big no. Isotretinoin, commonly known by brand names such as Accutane or Acnotin, is extremely effective for severe acne but is known to cause birth defects². It must be strictly avoided during pregnancy and even several months before trying to conceive.

2. Topical retinoids (e.g., tretinoin, adapalene)

Although applied to the skin and absorbed in smaller amounts, topical retinoids are generally not recommended during pregnancy due to potential risks to the fetus.

3. Hormonal therapies

Certain oral contraceptives or anti-androgens like spironolactone can help control acne, but are not safe during pregnancy or breastfeeding. These medications can affect the baby’s development, particularly in male infants.

4. Salicylic acid (in high concentrations)

Low concentrations (around 2% or less) of salicylic acid in facial cleansers may be safe, but higher doses or oral forms are discouraged. Always double-check with your dermatologist before use.

Safe and gentle acne treatments for expecting and breastfeeding mums

Thankfully, there are several safer ways to manage acne while keeping your baby’s well-being in mind.

1. Gentle skincare routine

Start with a mild, fragrance-free cleanser suitable for sensitive skin. Washing your face twice a day is sufficient, as doing it too often can remove its natural oils, prompting it to generate excess sebum as a response.

2. Azelaic acid

Azelaic acid is a naturally occurring acid that helps unclog pores, reduce inflammation, and lighten dark spots. It’s considered safe during pregnancy and is a popular choice for managing both acne, blemishes, and melasma (a common skin concern during pregnancy).

3. Benzoyl peroxide (in low concentrations)

Used in moderation, benzoyl peroxide is considered safe in pregnancy. Stick to a concentration of 5% or lower and avoid overuse. It’s often used as a spot treatment to dry out active pimples.

4. Topical antibiotics (e.g., clindamycin or erythromycin)

These can be prescribed by your doctor and are typically safe for short-term use during pregnancy. They work by targeting the bacteria that contribute to acne.

5. Non-comedogenic moisturisers

Just because your skin is breaking out doesn’t mean it doesn’t need moisture. Choose light, non-comedogenic moisturisers that hydrate without clogging your pores. Ingredients like hyaluronic acid are safe and effective.

6. Light chemical peels or facials

Certain gentle peels using lactic acid or glycolic acid in low concentrations may be done under professional supervision. Speak with a dermatologist to determine if this is a suitable option for your skin condition and stage of pregnancy.

7. Diet and lifestyle adjustments

There’s growing interest in the link between sugar and acne, with some studies suggesting that high-glycaemic diets may exacerbate breakouts. Eating a balanced diet with more whole foods and fewer processed items may help support healthier skin.

Natural remedies to consider

Some mums-to-be prefer natural options to manage their acne, especially if they are wary of using any medicated products.

Tea tree oil: Known for its antibacterial properties, tea tree oil can be used as a spot treatment. However, it must be diluted properly to prevent skin irritation.
Aloe vera: Soothing and moisturising, aloe vera can reduce redness and support healing.
Oatmeal masks: Great for calming inflamed skin, oatmeal masks can be made at home and used a few times a week.

Remember, just because something is natural doesn’t mean it’s safe during pregnancy. Always patch test and consult a professional when in doubt.

When to seek professional help

If your acne is painful, spreading, or affecting your self-confidence, it’s time to consult a professional. A dermatologist can assess your skin type, recommend safe treatments tailored to your needs, and guide you through the hormonal ups and downs of pregnancy and breastfeeding.

Pregnancy can also bring on other skin conditions, such as melasma, eczema, or increased skin sensitivity. In fact, many women with pre-existing eczema find their condition flares up during pregnancy. Seeing an eczema specialist in Singapore may be helpful if you’re experiencing dry, itchy, or inflamed skin alongside acne.

Conclusion

Acne during pregnancy and breastfeeding is more common than many people think, and while it can be distressing, it is manageable with the right approach. The key is understanding which ingredients and treatments are safe and which to avoid, and not being afraid to ask for help when needed.

Every woman’s skin reacts differently during this transformative period, so don’t be discouraged if your usual skincare routine suddenly stops working. Be gentle with yourself, and your skin – you’re already doing so much growing a new life.

For expert guidance and care, consider reaching out to Angeline Yong Dermatology, a leading clinic in Singapore offering dermatology services tailored to your unique needs.

References

Hormonal acne: What is it, treatment, causes & prevention. Cleveland Clinic. (2025, July 18). https://my.clevelandclinic.org/health/diseases/21792-hormonal-acne

Isotretinoin: The truth about side effects. American Academy of Dermatology. (n.d.). https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/side-effects

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Safe Acne Treatments During Pregnancy And Breastfeeding