Conditions We Treat

Obstetric (Postnatal) Dermatology

At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.

What is postnatal dermatology?

During pregnancy, the body undergoes significant hormonal, vascular, and metabolic changes, many of which affect the skin. While some pregnancy-related skin changes gradually fade, others persist or even worsen after childbirth.

We understand that new mothers often experience a range of postpartum skin concerns, including melasma (dark patches on the face), acne, stretch marks, and increased skin sensitivity. Many also notice postpartum hair loss (telogen effluvium), which typically peaks between 3 to 6 months after giving birth, or weakened nails that become brittle or prone to splitting. Understandably, these changes can feel overwhelming, especially when combined with the physical and emotional adjustments of early motherhood.

Thankfully, many of these conditions are treatable with the right approach.

Women may experience skin concerns like stretch marks, melasma, acne, and hair loss during the postpartum period due to hormonal fluctuations, skin stretching, and post-pregnancy recovery.

What common skin changes occur after pregnancy?

The postpartum period brings significant hormonal fluctuations that can affect the skin in multiple ways. Here are some of the common skin conditions that affect new mothers post-pregnancy:

  • Melasma (Postpartum Hyperpigmentation) — often referred to as the “mask of pregnancy,” melasma presents as dark patches on the face, particularly on the cheeks, forehead, and upper lip. This condition occurs due to increased melanin production stimulated by pregnancy hormones. 
  • Postpartum acne — many women experience breakouts in the months following childbirth, even if they had clear skin during pregnancy. This is due to the rapid drop in oestrogen levels after delivery, leading to increased oil production and clogged pores. Sleep deprivation, stress, and lifestyle changes associated with caring for a newborn can further contribute to acne flare-ups. 
  • Stretch marksstretch marks, or striae, are a common consequence of the rapid skin expansion that occurs during pregnancy. They often appear on the abdomen, breasts, thighs, and hips as red, purple, or silvery-white streaks. 
  • Postpartum hair loss (Telogen Effluvium) — many new mothers notice significant hair shedding a few months after childbirth. This is due to the hormonal shift that causes more hair follicles to enter the shedding phase (telogen) at the same time.
  • Increased skin sensitivity and dryness — some women develop drier, itchier, or more reactive skin postpartum, even if they previously had balanced skin. Hormonal fluctuations, dehydration, and increased demands on the body can compromise the skin barrier, leading to irritation and sensitivity.
Melasma is one of the common skin conditions that women may experience postpartum due to hormonal fluctuations that increase melanin production, often leading to dark patches on the face.

What are the signs that you should see a dermatologist?

Although many postnatal issues resolve naturally, some symptoms we experience could be telling of an underlying condition. Some signs and symptoms to look out for include:

  • Excessive or prolonged hair loss – shedding more hair than usual is normal postpartum, typically peaking around three to six months after delivery. However, if hair loss becomes severe, continues beyond a year, or results in noticeable thinning or bald patches, it may indicate an underlying issue such as androgenetic alopecia, iron deficiency, or thyroid imbalances.
  • Severe or persistent acne – hormonal fluctuations can trigger breakouts, even in women who previously had clear skin. If acne becomes inflamed, cystic, or does not respond to over-the-counter treatments, prescription skincare, or targeted topical treatments.
  • Unexplained rashes, itching, or skin sensitivity – while mild postpartum skin irritation is common, severe, widespread, or persistent rashes may indicate conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune skin disorders. If itching is intense, worsens at night, or is accompanied by other symptoms like fatigue or joint pain.
  • Persistent pigmentation or dark patches – melasma can take months to fade. However, if pigmentation is dark, resistant to fading, or spreading, prescription treatments, laser therapy, or chemical peels.
  • Slow-healing C-section scars or skin wounds – postpartum recovery includes healing from C-section incisions, perineal tears, or other skin injuries. If a scar remains red, raised, itchy, or thickens into a keloid.
  • Flare-ups of pre-existing skin conditions – women with eczema, psoriasis, rosacea, or acne-prone skin may notice worsening symptoms postpartum due to hormonal shifts and immune system changes.
While mild skin irritation is common postpartum, severe, persistent, or widespread rashes may signal conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune disorders that need medical attention.

How can a dermatologist help new mothers?

Being a new mother in itself is a new challenge, and having to deal with the hormonal and physiological changes that come with it can be daunting. A postnatal dermatologist can provide insight on these changes, as well as medical-grade, breastfeeding-safe treatments.

  • Diagnosing and treating postpartum skin conditions – many women experience persistent melasma, acne, stretch marks, or increased skin sensitivity after childbirth. A dermatologist assesses these concerns and recommends appropriate treatments, and ensures they are safe for breastfeeding mothers.
  • Managing postpartum hair loss and scalp issues – excessive hair shedding, known as telogen effluvium, is common in the months following childbirth. Your dermatologist can help distinguish normal postpartum hair loss from other conditions like alopecia and provides targeted treatments such as scalp therapies, topical solutions, and nutritional guidance to support regrowth.
  • Providing personalised skincare guidance – hormonal shifts can weaken the skin’s barrier, leading to dryness, irritation, or flare-ups of conditions like eczema. A postnatal dermatologist advises on gentle, effective skincare routines that fit into a new mother’s lifestyle while addressing specific concerns like pigmentation, inflammation, and increased sensitivity.
  • Offering safe and effective aesthetic treatments – many mothers seek non-invasive treatments to restore skin health after pregnancy. Options like laser therapy for melasma, microneedling for stretch marks, and chemical peels for acne are carefully selected to ensure compatibility with postpartum skin and breastfeeding.
  • Addressing hormonal skin imbalances and pre-existing conditions – fluctuating hormones can trigger or worsen conditions like psoriasis, urticaria, or rosacea. A dermatologist provides treatments that help manage these issues without interfering with postnatal recovery or lactation.

How are postnatal skin concerns diagnosed?

Understandably, every new mother’s skin responds differently after childbirth. To provide the most personalised care, we utilise comprehensive diagnostic methods to assess postpartum skin, hair, and nail concerns accurately. 

  • Detailed skin and medical history – we begin by discussing your pregnancy, postpartum recovery, skincare routine, and any pre-existing conditions that may influence your skin’s current state. Understanding changes in hormones, diet, stress levels, and sleep patterns helps us pinpoint the root cause of your concerns.
  • Dermatological examination – a thorough clinical assessment of your skin, scalp, and nails allows us to evaluate common postnatal concerns such as melasma, acne, stretch marks, hair loss, or increased sensitivity. We look for specific patterns and triggers to recommend the safest and most effective treatments.
  • Hormonal and nutritional assessments – postnatal skin and hair issues often stem from hormonal imbalances or nutrient deficiencies. If necessary, we may recommend blood tests to check levels of oestrogen, progesterone, iron, vitamin D, and thyroid function, ensuring a well-rounded approach to treatment.
  • Trichoscopic scalp examination – for mothers experiencing excessive hair shedding or thinning, we perform a detailed scalp assessment using trichoscopy, a non-invasive method that magnifies hair follicles to determine whether the hair loss is temporary (telogen effluvium) or linked to an underlying condition like androgenetic alopecia.

How are postpartum skin concerns treated?

The type of treatment recommended by your dermatologist varies, depending on the type of skin concern you experience and the root cause of the issue. Some of these treatments include:

Melasma (Postpartum Hyperpigmentation) treatments

Melasma can take months to fade naturally, and in some cases, pigmentation lingers without intervention. Our treatments focus on reducing excess melanin production while protecting the skin from further darkening.

  • Topical treatments – Dermatologist-prescribed creams with ingredients such as hydroquinone, azelaic acid, vitamin C, and niacinamide help lighten pigmentation gradually.
  • Chemical peels – mild to moderate peels using glycolic acid or lactic acid can accelerate skin renewal, improving skin tone.
  • Laser therapy – advanced pigment-targeting lasers can break down stubborn melanin deposits, reducing dark patches safely over time.
  • Sun protection – daily use of broad-spectrum SPF 50+ sunscreen is essential to prevent melasma from worsening.

Postpartum acne treatments

Fluctuating hormone levels, sleep deprivation, and stress can trigger postnatal acne. Treating acne postpartum requires gentle yet effective solutions that avoid harsh ingredients unsafe for breastfeeding mothers.

  • Medical-grade skincare – Salicylic acid, benzoyl peroxide (at low concentrations), and azelaic acid can help control breakouts without compromising skin health.
  • Topical antibiotics – in cases of persistent acne, prescription topical treatments such as clindamycin may be recommended.
  • Chemical peels – gentle, non-invasive exfoliating treatments can help reduce clogged pores and inflammation.
  • Dietary and lifestyle support – we provide guidance on skin care routines, dietary adjustments, and stress management to minimise acne flare-ups.

Stretch mark treatments

Stretch marks form when the skin stretches rapidly, causing collagen and elastin fibres to break. While they naturally fade over time, targeted treatments can improve texture, boost collagen production, and reduce their visibility.

  • Topical retinoids (for non-breastfeeding mothers) – prescription retinoids can stimulate collagen repair and improve skin elasticity.
  • Microneedling and RF microneedling – microneedling treatments encourage the natural healing process by boosting collagen production, reducing the depth and colour of stretch marks.
  • Laser therapy – fractional lasers, such as Redtouch and CO2 lasers, help smooth the skin and reduce redness or pigmentation associated with stretch marks.

Postpartum hair loss (Telogen Effluvium) treatments

Hair shedding after childbirth is common and usually self-resolving. However, for those experiencing prolonged or severe hair loss, we offer treatments to support regrowth and strengthen hair follicles.

  • Topical treatments – safe, clinically proven topical solutions such as minoxidil (in appropriate concentrations for postpartum use) can aid hair regrowth.
  • Scalp treatments – Platelet-rich plasma (PRP) therapy and low-level laser therapy (LLLT) can help rejuvenate hair follicles and promote thicker hair.
  • Nutritional support – we assess iron, vitamin D, and biotin levels, as deficiencies can contribute to postpartum hair thinning.

Skin sensitivity and dryness treatments

Many women develop increased skin sensitivity, irritation, or dryness after childbirth. Maintaining a healthy skin barrier is crucial for postnatal skincare.

  • Barrier-repairing skin care – we recommend gentle, fragrance-free cleansers and moisturisers with ceramides and hyaluronic acid to restore hydration.
  • Eczema and psoriasis management – prescription topical corticosteroids or non-steroidal creams can help manage postnatal flare-ups safely.

Summary

Post-pregnancy patients need specialised obstetric dermatological care. At Livingstone Dermatology, we understand that new mothers experience skin concerns differently, require breastfeeding-safe treatments, and have limited time for complex routines. Our dermatologist provides customised treatment plans that fit into your postnatal lifestyle, helping you feel confident in your skin once again.

If you are experiencing persistent skin, hair, or nail concerns after childbirth, schedule a consultation with us today for a detailed skin analysis and personalised postnatal treatment plan. 

Frequently Asked Questions (FAQs)

Can I use my pre-pregnancy skincare products while breastfeeding?

It’s important to review your skincare products postpartum, as certain ingredients like retinoids and high-dose salicylic acid are not recommended during breastfeeding. Opt for products with gentle, hydrating ingredients, and consult a dermatologist to ensure they’re safe for both you and your baby.

While genetics play a significant role in the development of stretch marks, maintaining skin hydration can help. Regularly applying moisturisers rich in hyaluronic acid or natural oils may improve skin elasticity. However, no topical treatment can guarantee prevention.

Yes, treatments like topical azelaic acid and vitamin C are considered safe during breastfeeding and can help lighten melasma. It’s crucial to use broad-spectrum sunscreen daily to prevent further pigmentation. Always consult a dermatologist before starting any new treatment.

Postpartum hair shedding is common and usually peaks around four months after delivery. Most women see their hair return to its normal fullness by their child’s first birthday. If hair loss continues beyond this or is causing concern, consult a dermatologist.

Postpartum skin conditions in mothers, such as eczema or melasma, do not directly affect the baby. However, if you have a contagious skin condition, it’s important to take precautions to prevent transmission. Always consult a healthcare provider for guidance.

Hormonal changes after childbirth can lead to dry skin. To manage this, use a gentle, hydrating cleanser and apply a moisturiser containing emollients, occlusives, and humectants to help maintain skin hydration. Additionally, ensure you’re drinking plenty of water, especially if you’re breastfeeding.

Yes, postpartum hormonal fluctuations can make your skin more sensitive than usual. You might react to products or environmental factors that previously didn’t affect you. Opt for fragrance-free, hypoallergenic skincare products and consult a dermatologist if sensitivities persist.

Yes, non-invasive treatments like some types of laser therapies and microneedling can help improve skin elasticity and reduce the appearance of stretch marks. Consult a dermatologist to determine the best course of action based on your specific needs.

Ready to prioritize your dermatological
health during pregnancy?

Schedule a consultation with Livingstone Dermatology today.

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Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin. 

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