It’s a girl! Kylie Jenner welcomed a beautiful baby girl into the world after months of secrecy. Since the TV personality, model and entrepreneur has openly shared her experiences with lip fillers and other cosmetic procedures over the years, it got us thinking: How does pregnancy change your beauty routine?

According to experts on RealSelf, quite a bit. From basic skin care ingredients, to in-office treatments like Botox, your normal beauty routine may need an update. If you’re expecting, you should plan on scrapping some trips to your dermatologist and showing off that natural pregnancy glow.

We talked to Dr. Sejal Shah, a New York dermatologic surgeon, to learn which cosmetic treatments to avoid when pregnant.

“Basically, for all of these, safety data hasn’t been reported in pregnant women,” Dr. Shah said. “In other words, they haven’t been studied in pregnancy, therefore, recommendations on using these types of treatments in women cannot be definitive.”

 

Lasers

Why you should avoid: “The cosmetic use has not been studied in pregnant women,” Dr. Shah said. “Different lasers have been used to treat medical conditions in pregnant women, for example, warts. However, the general recommendation is to avoid laser treatment during pregnancy because it is unclear how the skin will react. Skin tends to be more sensitive during pregnancy and also makes more pigment, so there is a higher possibility of adverse effects.”

When to quit: “You can have a treatment right before becoming pregnant.”

 

Fillers

Why you should avoid: “Lack of safety data in this population,” Shah said.

When to quit: “Because filler injections are localized to the skin, it is likely safe to have treatment immediately before getting pregnant.”

 

Botox

Why you should avoid: “There aren’t clinical trials evaluating the safety of cosmetic botulinum toxin in pregnant women,” Shah said. “However, a review of the Allergan safety database found that the prevalence of birth defects in women treated before/during pregnancy was comparable to that of the general population.”

“There are also case reports in which the toxin is used for medical purposes in pregnant women without adverse effects. Data suggests that if correctly injected into the muscle or skin, it does not reach significant systemic concentrations, and the toxin is unlikely to cross the placenta due to the size of the molecule.”

When to quit: “There is really insufficient data to make concrete recommendations, but I would recommend stopping before becoming pregnant.”

 

Related: 20-somethings are getting preventative Botox to stop wrinkles before they start

 

Sclerotherapy (vein therapy)

Why you should avoid: “There is limited data on the use of sclerotherapy solutions in pregnant women, but they can cross the placenta,” Shah said. “It is not advised to get this treatment during pregnancy.”

When to quit: “I generally advise waiting  six to 12 months after pregnancy to have this treatment.”

 

Oral retinoids

Why you should avoid: “Oral retinoids have been shown to cause birth defects, therefore, we recommend that all retinoids be avoided.”

When to quit: “I generally recommend stopping before trying to get pregnant,” Shah said. “If you inadvertently use a retinoid during pregnancy, it’s likely OK, as topical retinoids have not been shown to cause problems, but we are being extra cautious.”

Other procedures

Why you should avoid: “Most procedures have not been studied in pregnancy, so the safety is unknown,” Shah said. “In general, these types of procedures are not recommended because their safety is unknown.

“With many procedures, besides the procedure itself, you have to take into account anesthesia and other things that can be potentially dangerous for the developing baby. Also, it is not recommended to do any cosmetic procedures to the abdomen because of potential risks to the developing baby.”

As always, if you are thinking about getting pregnant, or are pregnant, you should always check with your doctor before starting any treatment.

 

Ready to contact an expert? Find a doctor near you.