Skincare ingredients to avoid during pregnancy

Reviewed by: Dr. Preet B

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5 min read

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Mar 28, 2025

Pregnancy often brings new skin challenges—from breakouts and pigmentation to dryness and sensitivity. As you search for solutions, it’s natural to turn to your favorite skincare products. However, not all ingredients are safe to use while pregnant.

Skin is the body’s largest organ; if certain ingredients are applied over the large skin area, a significant amount might be absorbed. Some ingredients, though safe for most, might cause fetal toxicity at higher concentrations.

Even if the risk is small, most healthcare professionals recommend erring on the side of caution—especially during the first trimester, when the baby’s organs are developing.

Retinoids: A Definite No

Retinoids are commonly found in anti-aging and acne products. These vitamin A derivatives, like retinol, tretinoin, adapalene, and isotretinoin, are highly effective for reducing wrinkles and clearing skin.

However, when used in strong doses—especially oral versions like isotretinoin—they have been linked to serious birth defects. Even topical forms, although less potent, are not recommended during pregnancy due to potential risk.

If you’re looking to maintain clear skin, consider safer alternatives like azelaic acid or niacinamide, which are both effective and considered safe for use during pregnancy.

Salicylic Acid in High Concentrations

Salicylic acid is another ingredient to approach with caution. It is found in acne treatments and exfoliating products. It belongs to the beta-hydroxy acid (BHA) family. While low concentrations (under 2%) in over-the-counter face washes or spot treatments are generally considered safe, high-dose products—like peels or oral versions—should be avoided. As an alternative, lactic acid or glycolic acid in moderate concentrations can help exfoliate and brighten the skin safely.

Hydroquinone: Avoid for Now

Hydroquinone is sometimes used to lighten dark spots and melasma. One may be tempted to use it during pregnancy when pigmentation issues like melasma (the “mask of pregnancy”) become more prominent.

However, hydroquinone is absorbed in relatively high amounts through the skin. While there is no confirmed link to birth defects, the absorption rate raises concern, making it a substance best avoided until after delivery.

Instead, vitamin C serums and kojic acid offer safer options for brightening the skin without the same absorption risks.

Essential Oils: Natural Doesn’t Always Mean Safe

Essential oils are often considered harmless because they’re plant-based, but not all are pregnancy-safe. Oils such as clary sage, rosemary, cinnamon, and peppermint can trigger uterine contractions or affect blood pressure if used in high concentrations.

While some essential oils may be safe in small amounts or when diluted, it’s wise to consult your healthcare provider before using them topically.

Chemical Sunscreens: Choose Safer Filters

Sunscreen is a daily essential, especially when hormonal changes make skin more prone to pigmentation. However, some chemical sunscreen ingredients, such as oxybenzone and avobenzone, may act as hormone disruptors.

While the evidence is still evolving, many experts advise switching to mineral sunscreens during pregnancy. Look for active ingredients like zinc oxide or titanium dioxide, as these ingredients are not absorbed.

Keeping It Safe and Simple

During pregnancy, a minimal and gentle skincare routine works best. Focus on products that hydrate, soothe, and protect. Look for ingredients like hyaluronic acid, ceramides, and aloe vera, which support the skin without posing risks.

If you’re ever uncertain about a product, bring it to your next prenatal appointment or consult a dermatologist familiar with pregnancy-safe skincare.