During pregnancy
Common changes.
- Melasma ("the mask of pregnancy") and darkening of existing pigment
- Hormonal acne, often along the jaw and chin
- Stretch marks (striae)
- Itchy rashes, including PUPPP/PEP and, rarely, conditions that need prompt evaluation
- Skin tags and changes in moles
After delivery
Postpartum skin & hair.
- Postpartum hair shedding (telogen effluvium), typically starting 2–4 months after delivery
- Lingering melasma and post-acne marks
- Dry or sensitive skin and hand eczema from frequent washing
- Restarting your routine, and knowing which products and procedures are compatible with breastfeeding
How we treat
Pregnancy-safe care.
Dr. Burris builds plans around ingredients considered safe during pregnancy and breastfeeding, such as azelaic acid, mineral sunscreen and certain topical antibiotics. She explains which ingredients to pause, such as retinoids, hydroquinone and oral spironolactone, and when it's safe to restart them. Cosmetic treatments such as neurotoxin and filler are postponed until after pregnancy and breastfeeding.
Questions
Frequently asked questions.
Is postpartum hair loss permanent?
No. Postpartum shedding is usually temporary and typically improves within 6–12 months. If shedding is heavy or persists, an evaluation can check for contributors such as thyroid or iron issues.
Which skincare ingredients should I avoid while pregnant?
Retinoids (including retinol and tretinoin), hydroquinone and some oral acne medications are generally avoided. Dr. Burris can review your full routine.
Can I treat acne while pregnant?
Yes. Azelaic acid, certain topical antibiotics and careful use of benzoyl peroxide are commonly used. Your plan will be tailored to you.
When can I get Botox again after having a baby?
Neurotoxin is not recommended during pregnancy or breastfeeding. Dr. Burris is happy to plan your return to cosmetic treatments once you've finished breastfeeding.