Dr. Long Ly, a Board-Certified Dermatologist at our MetroDerm locations in Alpharetta, Atlanta-Sandy Springs, and Buckhead, was the subject of a recent Simply Buckhead article titled “Baby-Safe Beauty,” offering expert guidance on how expectant mothers can care for their skin safely and effectively during pregnancy.
Pregnancy brings dramatic hormonal shifts that often show up on the skin.
“The most frequent things I see with pregnant patients are hormonal acne, pigmentation from melasma, stretch marks, and dry, itchy skin,” says Dr. Ly.
While these concerns are common, treating them requires a thoughtful approach, as many traditional skincare ingredients and cosmetic treatments are not recommended during pregnancy.
- Acne
In the article, Dr. Ly emphasizes safer alternatives for managing breakouts, advising patients to avoid retinoids, high-dose glycolic or salicylic acids, and strong chemical peels. Instead, he recommends azelaic acid, available over the counter or by prescription, as a pregnancy-safe option to reduce inflammation, regulate oil production, prevent clogged pores, and improve post-acne pigmentation. Certain topical antibiotics, such as clindamycin or erythromycin, can also be safely used to reduce acne-causing bacteria.
- Pigmentation
Pigmentation, particularly melasma – often referred to as the “mask of pregnancy” – is another frequent concern. Triggered by hormones and sun exposure, melasma can be difficult to manage when bleaching agents such as hydroquinone are not recommended for use during pregnancy. Dr. Ly encourages diligent sun protection and the use of antioxidant vitamin C serums to support brightness and pigment control. “While it’s generally safe to use a chemical sunscreen, we don’t have the data about chemical sunscreens during pregnancy, which is why I recommend a mineral sunscreen,” Ly says, noting that zinc oxide or titanium dioxide formulas are preferred.
- Stretch Marks and Dry Skin
Dry, itchy skin is also common as hormone changes disrupt the skin barrier. “Hormonal changes can really dry the skin,” Dr. Ly explains. He advises choosing gentle, non-active cleansers and following up with thick, fragrance-free moisturizers after bathing. While stretch marks may not be preventable, consistent moisturizing can help keep skin supple, and post-pregnancy treatments such as laser or microneedling can improve texture and redness.
Dr. Ly also emphasizes the importance of maintaining routine skin cancer screenings during pregnancy.
“Hormones can make moles change, and while most are harmless, sometimes we do find skin cancer.”
he says, adding that biopsies and necessary surgical treatments are safe with local anesthesia and should not be delayed.
Finally, cosmetic injectables like BOTOX® Cosmetic and fillers should be paused until after pregnancy.
“Skip cosmetic treatments such as BOTOX Cosmetic and fillers until after pregnancy to avoid the risk for absorption of toxins and other substances into the bloodstream,”
Ly says, noting that it’s best to wait until the face has stabilized postpartum.
Above all, Dr. Ly reassures patients that skin changes during pregnancy usually resolve with time.
“Some women’s skin gets better, others worse,” he says. “These changes are temporary.”
Throughout his feature in Simply Buckhead, Dr. Ly reinforces MetroDerm’s commitment to evidence-based, patient-centered Dermatologic care at every stage of life.
Dr. Ly sees patients at MetroDerm – Alpharetta, MetroDerm Atlanta – Sandy Springs, and MetroDerm – Buckhead locations. He specializes in Medical Dermatology, Skin Cancer Treatments, and Cosmetic Dermatology. Request an appointment with Dr. Ly right here on our website.
Looking for same-week Dermatology appointments in the Atlanta Metro area? We reserve same-week slots at most locations with select Dermatologists, including Dr. Ly. Request your Dermatology appointment now.
About MetroDerm
Established in 2003, MetroDerm provides Dermatology services, Mohs Micrographic Surgery, and Plastic Surgery. The organization’s team of almost 30 Dermatology Providers includes highly trained medical practitioners, including a CoolSculpting® National Trainer and Master CoolSculptor; acclaimed Plastic Surgeons; and Cosmetic Injectors. MetroDerm is equipped to meet all levels of Dermatological need – from skin cancer treatments to Medical Dermatology and Cosmetic Dermatology, ranging from injectables to industry-leading laser treatments. With a long-standing reputation for providing advanced patient-centered care, the medical practice has six locations, including Alpharetta, Buckhead, Hiram, Lilburn, and Sandy Springs.
About MetroDerm’s Center for Plastic Surgery
The state-of-the-art Center for Plastic Surgery at MetroDerm combines a team of highly skilled, internationally renowned, and Board-Certified Plastic Surgeons with decades of experience in aesthetic and reconstructive procedures. Their expertise, and reputation for utilizing cutting-edge technologies and Dermatological innovation, supports an unwavering dedication to helping patients achieve their aesthetic goals. From injectables and laser treatments to facelifts, breast augmentations, and body contouring procedures, the Center for Plastic Surgery provides a full spectrum of aesthetic procedures and surgeries tailored to individual preferences. The team is patient-centered, prioritizing clear communication, thorough consultations, and setting realistic expectations to ensure a positive experience from start to finish. With locations in the Greater Atlanta area, including Sandy Springs and Hiram.