Beauty: Caring for postnatal skin

The postpartum period is frequently accompanied by significant changes to the skin’s appearance. These changes are primarily driven by a shift in hormone levels and can cause increased skin pigmentation, oily skin, decreased barrier integrity and dry skin. Kate Dyer shares some of the most typical postpartum skin conditions.

What kinds of skin conditions are common after giving birth?

After delivery, when your hormones and other systems start to equalise to normal levels, your skin’s look or texture may change. Some postpartum skin conditions are:

Melasma
Melasma, commonly referred to as the “mask of pregnancy,” is a form of skin darkening that primarily shows up on sun-exposed regions of the face, including the forehead, cheeks, nose, and chin. It is strongly associated with increased levels of oestrogen, progesterone, and melanocyte-stimulating hormone (MSH) during pregnancy. These hormones increase the amount of melanin (skin pigment) that is produced and may be stubborn and difficult to treat. Additionally, melasma can worsen with ultraviolet (UV) exposure, which is why wearing sunscreen is important for both prevention and management. Melasma may slowly fade on its own, but some cases may persist and require dermatological treatment.

Acne
Acne is another frequent concern during and after pregnancy. Elevated progesterone levels increase sebaceous gland activity, leading to excess sebum (oil) production. This can result in clogged pores, breakouts and inflammation. Although some oral and topical treatment options are contraindicated during pregnancy and breastfeeding, targeted skincare can help. Look for anti-inflammatory ingredients like salicylic acid, postbiotics and niacinamide.

Dry skin
Dry skin and barrier function dysregulation is commonly caused by a reduction in oestrogen levels and alters the skin’s ability to maintain proper hydration and normal barrier function, resulting in dry skin, increased sensitivity, and dullness. The application of moisturisers containing a combination of humectants (e.g., glycerin, hyaluronic acid), emollients (e.g., squalane, jojoba oil), and occlusives (e.g., ceramides or shea butter) can all help alleviate dry and itchy skin.

What causes postpartum skin changes?

Skin changes experienced during pregnancy may continue following birth, but new issues may also occur. The changes are typically brought about by changes to the immune system, metabolism, circulatory system, sebaceous glands, and hormone levels. These changes, along with significant sleep alterations, can have a significant impact on the skin. In addition, any skin disorders present before pregnancy might come back after delivery.

Postpartum skin changes are common, but that doesn’t mean you have to just put up with them. If you’re dealing with ongoing issues a specialist can help identify the root cause, recommend topical treatments that are safe if you’re breastfeeding, and support your skin’s recovery so you can feel more comfortable and confident during the postpartum period.

Kate provides personalised skincare consultations through her blog at beautyandthebiome.com