Pregnancy brings about a multitude of changes in a woman’s body, many of which are natural and expected. Among the more concerning issues for some women is how to manage existing scars or newly forming scars during this period. Whether you’re dealing with surgical scars (such as from a caesarean section or past surgeries), stretch marks, acne scars, or other types of skin trauma, it’s essential to understand what scar treatments are safe during pregnancy and which should be avoided.
Understanding Scars and Pregnancy
Scars form when the skin heals after an injury. Depending on the depth and severity of the injury, a scar may appear flat, raised (hypertrophic or keloid), or sunken. During pregnancy, your skin undergoes changes due to hormonal fluctuations, increased blood flow, and stretching. These changes may alter how scars appear or heal.
Common types of scars during pregnancy include:
- Stretch marks: While technically not scars, stretch marks are a form of dermal scarring due to rapid skin stretching.
- C-section scars: These surgical scars require post-operative care and, for many women, ongoing treatment to improve appearance and reduce discomfort.
- Existing scars: Acne scars, injury scars, or surgical scars from prior procedures may become more noticeable as the skin changes.
Hormonal Impact on Scar Healing
Hormones such as oestrogen and progesterone fluctuate significantly during pregnancy and can affect skin elasticity and healing. Oestrogen, in particular, plays a role in wound healing. However, during pregnancy, the skin may be more prone to pigmentation changes, which can cause scars to darken or become more visible.
Additionally, some women may develop melasma, a condition that causes dark patches on the skin, making scars more prominent.
Safe Scar Treatment Options During Pregnancy
Safety is paramount during pregnancy, and this applies to skincare as much as diet or exercise. Many over-the-counter scar treatments contain active ingredients that may be unsafe for pregnant women. However, there are still several safe and effective methods to manage scars during pregnancy.
Silicone Gel and Silicone Sheets
Silicone-based products are considered the gold standard for non-invasive scar treatment. They are generally safe to use during pregnancy and help flatten and fade scars over time.
Benefits:
- Hydrates the scar tissue
- Reduces redness and itching
- Softens raised scars
Application: Apply a thin layer of silicone gel or use silicone sheets over the scar for several hours a day. They’re odourless, non-irritating, and suitable for sensitive skin.
Moisturisers and Emollients
Keeping the skin well-hydrated is essential. Products containing ingredients like cocoa butter, shea butter, and vitamin E are often recommended, though there’s limited scientific evidence for their scar-reducing properties.
Note: While vitamin E is commonly used, some studies suggest it may cause contact dermatitis in certain individuals. It’s best to test a small patch before applying widely.
Gentle Massage
Massaging the scar with a moisturiser or oil can improve blood flow and break down excess collagen that causes raised scars. This method is especially helpful for C-section scars once they have healed sufficiently (usually after 6–8 weeks).
Sun Protection
UV exposure can cause scars to darken. Pregnancy already increases susceptibility to hyperpigmentation, so using a broad-spectrum sunscreen (SPF 30 or higher) is crucial, even on cloudy days.
Tip: Choose mineral-based sunscreens with zinc oxide or titanium dioxide, which are safer for use during pregnancy.
Treatments to Avoid During Pregnancy
While it may be tempting to reach for stronger treatments, many contain ingredients that are not safe for use during pregnancy.
Retinoids (Vitamin A Derivatives)
Retinoids, commonly found in acne and anti-ageing products, are highly effective for scar treatment but are not safe during pregnancy. Oral isotretinoin (such as Roaccutane) is especially dangerous, but even topical forms should be avoided.
Hydroquinone
Used for skin lightening and hyperpigmentation, hydroquinone has high systemic absorption. Though conclusive data on harm is lacking, it is not recommended during pregnancy as a precaution.
Salicylic Acid and Beta Hydroxy Acids (BHAs)
Low concentrations (<2%) are sometimes deemed safe, but stronger formulations—especially chemical peels—should be avoided.
Laser Treatments and Microneedling
These procedures involve skin resurfacing and can be painful, increase risk of infection, and trigger pigmentation changes due to hormonal shifts. Most dermatologists recommend postponing these treatments until after pregnancy.
Special Considerations for C-Section Scars
For women undergoing a planned or emergency caesarean section, scar management becomes an important postpartum concern. While many treatments can wait until after delivery, certain practices can support healing even during pregnancy:
- Nutrition: A diet rich in protein, vitamin C, zinc, and iron supports skin repair.
- Post-operative care: Keeping the incision clean and dry reduces the risk of infection and poor healing.
- Scar massage: Once healed, gentle massage can prevent adhesion and improve scar appearance.
If you’re planning a C-section and concerned about scarring, speak with your obstetrician about your options. They may suggest specific surgical techniques or closure methods that reduce visible scarring.
After Pregnancy: When Can You Resume Advanced Treatments?
Once your baby is born and if you’re not breastfeeding (or depending on the treatment), you may be eligible for more aggressive scar treatments such as:
- Laser therapy
- Chemical peels
- Microneedling
- Topical retinoids
If you’re breastfeeding, it’s still important to discuss your treatment plans with your doctor, as some products can be absorbed into breast milk.
When to See a Dermatologist
If your scar is causing pain, itching, or emotional distress—or if it becomes red, swollen, or infected—it’s time to consult a healthcare professional. A dermatologist can help determine the best course of action and which treatments are safe based on your pregnancy stage.
Final Thoughts
Scar treatment during pregnancy requires careful consideration of both effectiveness and safety. While many treatments must be paused until after childbirth, there are still numerous options available to support healthy skin and minimise scarring. By focusing on gentle, non-invasive approaches and consulting your healthcare provider, you can manage scars effectively without compromising your health or your baby’s well-being.
Remember: every body heals differently. Be patient with the process and kind to yourself as your body undergoes this incredible transformation.
At Medix Clinic, we offer a comprehensive range of skin and cosmetic treatments tailored to your needs. Our services include acne scarring in Melbourne, scar treatment in Melbourne, and radio frequency microneedling in Melbourne to promote skin repair and regeneration. We also provide professional skin needling in Melbourne, advanced skin tightening in Melbourne, and effective skin tag and mole removal in Melbourne. For pigmentation issues, we offer targeted pigmentation removal in Melbourne, and to restore your skin’s glow, we specialise in skin rejuvenation in Melbourne. Additionally, you can enhance your smile with our safe and effective LED teeth whitening in Melbourne