Why pregnancy affects hair and skin so dramatically
โDuring pregnancy, a womanโs body experiences very sudden and dramatic changes as a result of the increase in the hormones estrogen and progesterone,โ says Dendy Engelman, MD, of Manhattan Dermatology and Cosmetic Surgery. One of those is that glorious (though far from universal) pregnancy glow, which might have you sporting an extra bounce in your step. But there are some less-appealing changes too. โMost moms-to-be expect the signs of pregnancy theyโve heard before like bigger breasts and fatigue, but are totally in the dark when it comes to the other symptoms that can wreak havoc onโor work wonders forโtheir appearance,โ says Joel Schlessinger, MD, board certified dermatologist and RealSelf advisor. According to the American Pregnancy Association, there are many ways your skin can change while you’re pregnant, from the obvious potential of stretch marks to changes in skin pigmentation. Hereโs the scoop on the pretty and not-so-pretty perks of being preggo and what you can expect to experience in terms of pregnancy skin care while babyโs cooking. You can safely ignore these pregnancy myths.
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Thick, shiny hair
Hurray! You may notice that your hair looks fuller and shinier than it did pre-pregnancy. โThis is again thanks to your pregnancy hormones, which slow down the rate of hair loss, making your locks seem thicker and more voluminous,โ says Dr. Engelman. As much as 95 percent of your hair can be growing during pregnancy, but then after delivery, you can expect much of that hair to shed. โOnce your hormones return to normal, thereโs a shedding process of everything your body worked so hard to build up during pregnancyโhair growth included,โ says Engelman. Try a dietary supplement that contains biotin, vitamin C and a blend of amino acids to help your hair become stronger, healthier, and more vibrant.
Extra body hair
The flip side to long, lustrous hair: when it grows in unwanted places, like your abdomen, face, nipples and (yep!) even your backside. But donโt make a waxing appointment (if you can stand it) just yetโthis extra hair growth is only temporary and should ease up around six months postpartum. โItโs completely safe to wax, shave, or use electrolysis during pregnancy, so at least you have some options if the hairiness is getting to you,โ says Dr. Engelman.
Dark spots on your face
Commonly referred to as the “pregnancy mask,” melasma is characterized by dark, blotchy patches of skin on the forehead, upper lip and cheeks. โThis condition appears when an increase in estrogen levels stimulate excess melanin production and affects as many as 75% of pregnant women,โ says Dr. Schlessinger. โItโs especially common in those with darker skin tones, or those of African and Asian descent.โ Because many skin-lightening ingredients arenโt recommended for use while pregnant or breastfeeding, there isnโt much you can do to address this condition while expecting. Although thereโs no way to completely prevent melasma, wearing sunscreen can help limit the effects, as UV exposure can make unwanted pigmentation even worse. The good news is that this discoloration is often temporary and fades after delivery.
A line down the middle of your belly
Linea nigra, or the โpregnancy line,โ is a dark vertical strip down the stomach which affects approximately 75% of pregnant women. It extends from your belly button to your pubic area. The same hormones that trigger melasma are responsible for this change. โWhen melanin production increases during pregnancy, the skin in this area darkens, usually during the second trimester,โ says Dr. Schlessinger. โIf it doesnโt fade completely, you can use a skin-lightening cream with hydroquinone once youโre no longer pregnant or breastfeeding.โ Though thereโs no easy way to prevent this pigment change, wearing sunscreen can help it from getting worse.
Spider veins
You can thank raging pregnancy hormones and that expanding belly for putting increased pressure on your veins and causing blood vessels to enlarge. This leaves red spider-like marks known as varicose veins or spider angiomas on your legs, arms, torso, or even on your face, that can worsen depending on your level of movement. โIf youโre standing for long periods of time, you may notice more spider veins crop up, so itโs best to set aside time to sit with your legs elevated,โ says Dr. Engelman. โWhile there isnโt a treatment for spider veins during pregnancy, you can use concealer to camouflage the imperfections or have your derm zap them with a laser post-pregnancy.”
Pregnancy acne
Unfortunately for some, the influx of hormones can cause the skin to produce more oil, which can lead to clogged pores and acne breakouts. โSome women experience acne as early as their first month of pregnancy and it can continue to be an issue even after delivery,โ says Dr. Schlessinger. The best way to promote clear skin no matter what stage of pregnancy youโre in is to maintain a good skincare routine. โClean your skin twice a day and use products that are oil-free, noncomedogenic (doesnโt block pores) and non-acnegenic,โ he says. โAnd steer clear of common acne-fighting ingredients like benzoyl peroxide and salicylic acid until youโre no longer pregnant or breastfeeding.โ The same goes for prescription meds like Accutane, Retin-A and tetracycline, which are unsafe to use during pregnancy. โIf acne is a major concern for you while expecting, ask your physician about pregnancy-safe treatment options.โ
Rosacea
Rosy cheeks may sound appealing, but not when theyโre in the form of inflammation caused by swelling of blood vessels close to the skinโs surface. โThe exact cause of rosacea is unknown, but itโs believed to be a result of a combination of hereditary and environmental factors,โ says Dr. Engelman. โSome people have the condition but donโt know itโs rosacea, or there was never a flare-up.โ It can be triggered by a number of factors such as hot foods or beverages, spice, alcohol, extreme hot or cold temperatures, sunlight, stress, exercise and hot baths or saunas. โA womanโs body goes through a lot during childbirth, so itโs possible that the stress from labor can cause flare-ups,โ she says. Doctors treat the condition with a variety of topical and oral medications or laser therapy, so get advise on whatโs safe for you during pregnancy.
Skin tags
If you suddenly see extra bits of skin hanging off your body, donโt freak out. Pregnancy hormones can also increase skin cell production and cause small polyps to form anywhere your skin rubs against your clothing. โTheyโre harmless and after delivery your dermatologist can remove them easily,โ says Dr. Engelman.
Stretch marks
These line-shaped lesions affect 50 percent to 90 percent of all womenโpregnant or notโbut are much more common during pregnancy, when a womanโs body is expanding faster than the skin is able to keep up. โThese marks may appear red, brown, or purple in color, and are visible predominantly on the belly, breasts and thighs,โ says Dr. Schlessinger. Due to genetics, some people may be more prone to stretch marks than others. Try these dermatologist-approved ways for getting rid of stretch marks.
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