1 00:00:00,240 --> 00:00:08,840 Speaker 1: Who baby A baby? I need you, Oh Hell, I 2 00:00:09,160 --> 00:00:14,000 Speaker 1: need you. What to Expect is a production of I 3 00:00:14,200 --> 00:00:18,239 Speaker 1: Heart Radio. I'm your host Heidi Murkop and I'm a 4 00:00:18,280 --> 00:00:20,960 Speaker 1: mom on a mission, a mission to help you know 5 00:00:21,120 --> 00:00:27,200 Speaker 1: what to expect every step of the way. You've probably 6 00:00:27,280 --> 00:00:30,440 Speaker 1: heard about the pregnancy glow, but maybe your skin hasn't 7 00:00:30,480 --> 00:00:34,559 Speaker 1: gotten a message. Whether it's pregnancy pimples, full on acne 8 00:00:34,960 --> 00:00:40,200 Speaker 1: or magne rashes, sensitivity, an itchy belly or blotchy face, 9 00:00:40,840 --> 00:00:44,120 Speaker 1: or the stretch marks you're finding a stretch to embrace. 10 00:00:44,720 --> 00:00:48,360 Speaker 1: Most moms can expect their skin to change when they're expecting, 11 00:00:48,800 --> 00:00:52,080 Speaker 1: and often not for the better. We're here to help 12 00:00:52,200 --> 00:00:55,760 Speaker 1: you and your pregnant skin out. Joining me today to 13 00:00:55,920 --> 00:00:59,720 Speaker 1: break down the most common pregnancy skin problems, why they 14 00:00:59,760 --> 00:01:02,480 Speaker 1: have been and how to treat them safely so you 15 00:01:02,480 --> 00:01:05,760 Speaker 1: can love the pregnancy skin you're in, or at least 16 00:01:05,920 --> 00:01:09,679 Speaker 1: like it a little more. Is dermatologist, author of Feed 17 00:01:09,720 --> 00:01:12,880 Speaker 1: Your Face, and a friend of the What to Expect community, 18 00:01:13,440 --> 00:01:17,520 Speaker 1: Dr Jessica Wou. Thanks so much for being here. We 19 00:01:17,640 --> 00:01:22,959 Speaker 1: have so many moms with so many questions. First of all, 20 00:01:23,440 --> 00:01:27,080 Speaker 1: let's face facts. Many moms find that they're more pimple 21 00:01:27,200 --> 00:01:30,160 Speaker 1: than an eighth grader when they're pregnant. And just like 22 00:01:30,319 --> 00:01:34,240 Speaker 1: back in middle school, I think we can blame the hormones, right, 23 00:01:34,680 --> 00:01:38,120 Speaker 1: that's right. Anytime your hormones start to slare up, whether 24 00:01:38,160 --> 00:01:43,080 Speaker 1: it's puberty or pregnancy, skin shows the effects. And what's 25 00:01:43,080 --> 00:01:45,480 Speaker 1: a moment to do? I mean, how do you treat 26 00:01:45,680 --> 00:01:51,240 Speaker 1: pregnancy acne? Well, I think, as as in other times 27 00:01:51,280 --> 00:01:54,080 Speaker 1: of your life, the number one thing to do to 28 00:01:54,160 --> 00:01:56,640 Speaker 1: help get clear skin is to start by taking good 29 00:01:56,680 --> 00:02:00,200 Speaker 1: care of your skin. And the biggest myth of out 30 00:02:00,360 --> 00:02:03,400 Speaker 1: pregnancy acne that I hear from my patients is that 31 00:02:03,480 --> 00:02:06,240 Speaker 1: you get acting because your skin is not clean, and 32 00:02:06,400 --> 00:02:10,480 Speaker 1: that leads to scrubbing and over scrubbing and irritation, which 33 00:02:10,520 --> 00:02:13,680 Speaker 1: then makes you break out more. And in fact, your 34 00:02:13,680 --> 00:02:16,760 Speaker 1: skin is more sensitive during pregnancy. So I would say 35 00:02:16,840 --> 00:02:19,520 Speaker 1: number one is to be gentle on your skin and 36 00:02:19,680 --> 00:02:23,640 Speaker 1: use a gentle cleanser rather than trying to scrub your skin. 37 00:02:23,760 --> 00:02:26,760 Speaker 1: And it's the best to skip the athne washes that 38 00:02:26,760 --> 00:02:29,160 Speaker 1: you've been find over the counter, because many of those 39 00:02:29,240 --> 00:02:33,160 Speaker 1: are geared towards oily teenage acne skin, and some of 40 00:02:33,200 --> 00:02:36,720 Speaker 1: them contain ingredients that should be avoided during pregnancy. Yeah, 41 00:02:36,760 --> 00:02:39,800 Speaker 1: that's true. And and even if you're feeling super oily, 42 00:02:40,600 --> 00:02:43,120 Speaker 1: it's still not going to help, and it's probably gonna 43 00:02:43,160 --> 00:02:46,280 Speaker 1: over strip your skin. That's right. And some oil is 44 00:02:46,320 --> 00:02:48,320 Speaker 1: good for you, helps to keep your skin and plump 45 00:02:48,400 --> 00:02:51,520 Speaker 1: and moist and useful. I like the way that sounds. 46 00:02:52,160 --> 00:02:55,560 Speaker 1: So you talk a lot in Feed your Face about 47 00:02:55,800 --> 00:02:58,799 Speaker 1: well feeding your pregnant face and what can you do 48 00:02:59,480 --> 00:03:03,400 Speaker 1: just it wise to help clear up your skin. I mean, 49 00:03:03,520 --> 00:03:06,200 Speaker 1: I think we all heard, you know, growing up, the 50 00:03:06,400 --> 00:03:10,520 Speaker 1: things like pizza and French fries actually caused agne, And 51 00:03:10,560 --> 00:03:14,880 Speaker 1: then there was the change of position and and dermatologists 52 00:03:14,880 --> 00:03:17,680 Speaker 1: were saying, no, foods don't cause agne. And now we're 53 00:03:17,720 --> 00:03:20,040 Speaker 1: sort of back at the place where what you eat 54 00:03:20,200 --> 00:03:22,960 Speaker 1: can affect what your skin looks like. So you want 55 00:03:22,960 --> 00:03:25,359 Speaker 1: to tell us a little bit about that, yes, yes, 56 00:03:25,440 --> 00:03:28,760 Speaker 1: And and the reason for the pendulum swings is that 57 00:03:29,680 --> 00:03:33,040 Speaker 1: years ago it was a very simplistic understanding of how 58 00:03:33,080 --> 00:03:36,160 Speaker 1: the skin works. We thought, well, if we ate oily food, 59 00:03:36,160 --> 00:03:39,000 Speaker 1: then it would show up as oil and clogging on 60 00:03:39,040 --> 00:03:44,000 Speaker 1: our skin. And now we realize that, yes, and facts 61 00:03:44,160 --> 00:03:48,360 Speaker 1: some of those quote unquote a bad yet delicious foods 62 00:03:49,040 --> 00:03:51,920 Speaker 1: can be harmful for your skin, but not in the 63 00:03:51,960 --> 00:03:55,760 Speaker 1: way that we originally thought. It's not like you eat 64 00:03:55,800 --> 00:03:58,880 Speaker 1: pizza and the oil goes directly to your face. But 65 00:03:59,280 --> 00:04:04,560 Speaker 1: it turns out that pizza contains ingredients that can cause 66 00:04:04,600 --> 00:04:09,080 Speaker 1: inflammation and can increase oil production in your skin. For example, 67 00:04:09,520 --> 00:04:13,520 Speaker 1: pizza dough tends to be white flour, or even if 68 00:04:13,520 --> 00:04:15,880 Speaker 1: you get whole wheat, it's still a starch that gets 69 00:04:15,880 --> 00:04:21,120 Speaker 1: broken down into sugar that increases levels of infulin and 70 00:04:21,279 --> 00:04:24,599 Speaker 1: infulin like hormone in your skin, which we know stimulate 71 00:04:24,760 --> 00:04:27,200 Speaker 1: your skin to pump out more oil. Those you are 72 00:04:27,320 --> 00:04:32,200 Speaker 1: going to have pizza, I recommend uh choosing whole wheat 73 00:04:32,320 --> 00:04:36,400 Speaker 1: or whole brain varieties of dough, So go ahead and 74 00:04:36,600 --> 00:04:42,640 Speaker 1: have that pizza if you're having a craving while peppers, yes, yes, 75 00:04:42,720 --> 00:04:46,640 Speaker 1: red pepper. Foods that are high and zinc are also 76 00:04:46,760 --> 00:04:50,880 Speaker 1: good for athne because zinc is a natural anti inflammatory, 77 00:04:51,160 --> 00:04:57,600 Speaker 1: so add some protein onto your pizza. Some chicken um also, 78 00:04:58,279 --> 00:05:01,560 Speaker 1: different types of leu are good for acne as well 79 00:05:01,640 --> 00:05:04,719 Speaker 1: because they they're high in zinc, So have a salad 80 00:05:04,760 --> 00:05:07,680 Speaker 1: with some galbonzo beans or lentils on the side if 81 00:05:07,680 --> 00:05:10,359 Speaker 1: you're gonna have pizza. And then for those of you 82 00:05:10,440 --> 00:05:15,560 Speaker 1: who like anchovies on their pizza, antovies are wonderful for 83 00:05:15,800 --> 00:05:21,359 Speaker 1: acne because there are several studies showing that certain oily 84 00:05:21,480 --> 00:05:25,200 Speaker 1: fish that are high in Omega three, fatty acids can 85 00:05:25,240 --> 00:05:28,599 Speaker 1: help to calm the inflammation of acne. But of course, 86 00:05:28,800 --> 00:05:32,560 Speaker 1: make sure you choose your fish carefully because you you 87 00:05:32,600 --> 00:05:36,640 Speaker 1: want to avoid mercury. Yeah, and small fish like antovies 88 00:05:36,640 --> 00:05:39,000 Speaker 1: are a good bad salmon as well, but I don't 89 00:05:39,040 --> 00:05:42,560 Speaker 1: know that many people put salmon on their pizza. Moderate 90 00:05:42,600 --> 00:05:45,880 Speaker 1: their French fries. Moderate the French fries because French fries 91 00:05:45,960 --> 00:05:49,480 Speaker 1: are starchy and starches break down into sugar that can 92 00:05:49,520 --> 00:05:53,560 Speaker 1: aggregate your skin. And also unless you're making them yourself 93 00:05:53,600 --> 00:05:56,039 Speaker 1: and your air fire, which would be the best thing. Um, 94 00:05:56,240 --> 00:06:00,279 Speaker 1: you're not quite sure what they're coating the French rise 95 00:06:00,360 --> 00:06:03,280 Speaker 1: with and frying the fries in. It could be high 96 00:06:03,279 --> 00:06:06,000 Speaker 1: and saturated fat, which is nothing for your heart held 97 00:06:06,200 --> 00:06:08,840 Speaker 1: or your skin. Help, let's bake or air fries some 98 00:06:09,120 --> 00:06:12,400 Speaker 1: delicious sweet potato fries, because those we know are good 99 00:06:12,400 --> 00:06:16,520 Speaker 1: for you and good for baby. So what about backne 100 00:06:16,600 --> 00:06:20,040 Speaker 1: and test acne? That's a tough one because the skin 101 00:06:20,440 --> 00:06:23,760 Speaker 1: is thicker on your chests in your back, and so 102 00:06:24,279 --> 00:06:26,560 Speaker 1: the oil glands and the pores tend to get more 103 00:06:26,640 --> 00:06:29,400 Speaker 1: clothed on your chests in your back. So you can 104 00:06:29,560 --> 00:06:32,800 Speaker 1: actually go ahead and scrub your chest and back, but 105 00:06:32,880 --> 00:06:38,000 Speaker 1: I would look for physical scrubs like your sugar scrub 106 00:06:38,040 --> 00:06:40,880 Speaker 1: for example, or a wash cloth, which would be too 107 00:06:40,920 --> 00:06:44,040 Speaker 1: harsh on your face. One of my favorite ways to 108 00:06:44,080 --> 00:06:48,159 Speaker 1: explowlyate for facial acne is a muslin cloth, or you 109 00:06:48,200 --> 00:06:50,920 Speaker 1: can use a burp cloth, the baby burp cloth. Oh, 110 00:06:51,360 --> 00:06:54,760 Speaker 1: because you're buying your head anyway, exactly because they're made 111 00:06:54,760 --> 00:06:58,160 Speaker 1: from muslin and it's very, very fine, and yet they 112 00:06:58,200 --> 00:07:00,720 Speaker 1: give you a little bit of a scrubby test. Good 113 00:07:00,720 --> 00:07:04,599 Speaker 1: for baby, good for you, that's right. What about topicals 114 00:07:04,839 --> 00:07:09,359 Speaker 1: those zips zappers like benzel peroxide, you know, clerosol or 115 00:07:09,360 --> 00:07:15,720 Speaker 1: salacilic acid, Are those safe for pregnancy? Definitely stay away 116 00:07:15,920 --> 00:07:20,400 Speaker 1: from south folic acids during pregnancy. That's that's a definite 117 00:07:20,440 --> 00:07:24,800 Speaker 1: no no. And also stay away from retinoids. So retinoids 118 00:07:24,960 --> 00:07:28,000 Speaker 1: include of the counter of retinal if your doctor has 119 00:07:28,080 --> 00:07:31,800 Speaker 1: prescribed prescription retin a or try to know in or 120 00:07:31,880 --> 00:07:35,720 Speaker 1: different or tasack, you should stay away from those during 121 00:07:36,000 --> 00:07:40,200 Speaker 1: pregnancy as well as after you finish breast feeding. There's 122 00:07:40,280 --> 00:07:44,240 Speaker 1: some difference of opinion among dermatologists and OBEs as to 123 00:07:44,320 --> 00:07:50,000 Speaker 1: whether topical antibiotics and topical benzel peroxide are safe. Many 124 00:07:50,080 --> 00:07:54,360 Speaker 1: doctors feel that both of them are in limited quantities 125 00:07:54,440 --> 00:07:57,360 Speaker 1: and limited areas if you're using them just a spot treat, 126 00:07:57,440 --> 00:08:01,880 Speaker 1: for example, if you do choose the spental peroxide, stick 127 00:08:01,960 --> 00:08:06,280 Speaker 1: to less than two point five percent. Now, in terms 128 00:08:06,360 --> 00:08:09,080 Speaker 1: of ingredients that I like for acne and the big 129 00:08:09,120 --> 00:08:12,720 Speaker 1: span of as a like acid, as like acid is 130 00:08:12,760 --> 00:08:16,920 Speaker 1: a type of an ingredients that's naturally found in wheat, 131 00:08:17,200 --> 00:08:21,960 Speaker 1: so wheats and barley and rye, and our skin produces 132 00:08:22,000 --> 00:08:25,360 Speaker 1: it naturally. We all have yeast living on our skin, 133 00:08:25,680 --> 00:08:30,679 Speaker 1: and our skin yeast organisms naturally produced as leg apid. 134 00:08:30,800 --> 00:08:34,680 Speaker 1: So so most germs and OBEs are okay with as 135 00:08:34,760 --> 00:08:39,600 Speaker 1: le acid either prescription strength which is prescribed by your 136 00:08:39,640 --> 00:08:43,400 Speaker 1: doctors or now more recently, there are over the counter 137 00:08:43,559 --> 00:08:47,400 Speaker 1: versions of tempercent as like acid um in a variety 138 00:08:47,440 --> 00:08:52,360 Speaker 1: of different formulas, so as always check with your doctor first. 139 00:08:52,440 --> 00:08:55,280 Speaker 1: But again, most doctors are fine with using as like 140 00:08:55,480 --> 00:08:59,640 Speaker 1: acid which has an added benefit because if you have 141 00:09:00,000 --> 00:09:03,720 Speaker 1: breakouts and you tend to have more richly pigmented skin, 142 00:09:04,360 --> 00:09:08,120 Speaker 1: sometimes to breakouts may not fade, or sometimes to breakouts 143 00:09:08,160 --> 00:09:11,160 Speaker 1: themselves smooth out, but it leaves a dark stain on 144 00:09:11,240 --> 00:09:15,120 Speaker 1: your skin. So as like AVID has a natural brightening 145 00:09:15,360 --> 00:09:19,880 Speaker 1: and gentle exfoliation effects of helps to minimize us left 146 00:09:19,960 --> 00:09:23,160 Speaker 1: over lemishes and marks if you tend to have a 147 00:09:23,240 --> 00:09:41,520 Speaker 1: deeper skin test. Lots of moms want to know about 148 00:09:41,880 --> 00:09:46,600 Speaker 1: stretch marks. So first of all, why do stretch marks 149 00:09:46,640 --> 00:09:50,880 Speaker 1: affect some women more than others although most do get 150 00:09:50,960 --> 00:09:55,160 Speaker 1: some degree of stretch marks. Well, there are several different factors. 151 00:09:55,200 --> 00:09:59,160 Speaker 1: We think that one main factor contributing to your risk 152 00:09:59,200 --> 00:10:03,600 Speaker 1: of getting stretch marks is your genetics. So yeah, your mother, 153 00:10:03,800 --> 00:10:07,200 Speaker 1: your sister, other women in your family have stretch marks, 154 00:10:07,280 --> 00:10:09,880 Speaker 1: it seems to be that you would be at greater this. 155 00:10:10,880 --> 00:10:15,640 Speaker 1: And another factor is how quickly your belly grows. Because 156 00:10:16,240 --> 00:10:19,040 Speaker 1: if we do a skin biopsy to take a little 157 00:10:19,080 --> 00:10:22,840 Speaker 1: sample of the stretch mark and we look under the microscope, 158 00:10:22,880 --> 00:10:28,160 Speaker 1: you can actually see the little elastic band fibers that 159 00:10:28,200 --> 00:10:31,520 Speaker 1: are in your skin stretch. They stretch and then at 160 00:10:31,520 --> 00:10:34,520 Speaker 1: a certain point they break and price. You can see 161 00:10:34,880 --> 00:10:37,679 Speaker 1: like the ends of a rubber band. You pull, you pull, 162 00:10:37,760 --> 00:10:40,200 Speaker 1: you pull. At a certain point, it stretches and the 163 00:10:40,440 --> 00:10:45,040 Speaker 1: ends rip and snap. So that is what actually underlies 164 00:10:45,400 --> 00:10:48,679 Speaker 1: a stretch mark, which naturally brings me to my own 165 00:10:48,800 --> 00:10:54,720 Speaker 1: story of stretch mark. We are counting contractions during my 166 00:10:54,800 --> 00:10:58,439 Speaker 1: labor with Wyatt, and all of a sudden before our 167 00:10:58,640 --> 00:11:04,240 Speaker 1: very eyes appear across my belly, zig zagging across. It 168 00:11:04,320 --> 00:11:07,400 Speaker 1: was amazing to see. It was like my skin said, 169 00:11:07,520 --> 00:11:09,920 Speaker 1: I am stretched as far as I can stretch, and 170 00:11:09,960 --> 00:11:15,000 Speaker 1: I am not stretching. Well, I'm more centimeter. So are 171 00:11:15,040 --> 00:11:19,199 Speaker 1: there actually foods that can prevent stretch marks? We do 172 00:11:19,400 --> 00:11:23,720 Speaker 1: know that if your elastic tissue is weaker, than it's 173 00:11:23,760 --> 00:11:28,720 Speaker 1: going to stretch and snap more quickly. So my recommendation 174 00:11:28,920 --> 00:11:33,199 Speaker 1: is to choose foods that helped to strengthen the elastic 175 00:11:33,240 --> 00:11:35,679 Speaker 1: tissue in your skin and the collagen as well. So 176 00:11:35,960 --> 00:11:39,400 Speaker 1: the firm of your skin is, the more flexible, the 177 00:11:40,120 --> 00:11:42,960 Speaker 1: less likely it will be to snap and instead will 178 00:11:43,120 --> 00:11:47,000 Speaker 1: sounds that So, um, we know that elastic tissue is 179 00:11:47,080 --> 00:11:50,920 Speaker 1: made up of protein, and therefore it's really important to 180 00:11:51,440 --> 00:11:54,880 Speaker 1: have plenty of protein in your diet. If you are 181 00:11:54,920 --> 00:11:57,440 Speaker 1: not a big meat eater, make sure you're getting a 182 00:11:57,520 --> 00:12:04,640 Speaker 1: protein elsewhere through your legume your beans, because elastic vipers 183 00:12:04,760 --> 00:12:10,200 Speaker 1: are almost protein. So the better you are incorporating protein 184 00:12:10,320 --> 00:12:13,400 Speaker 1: in your diet, the stronger your skin will be. In general, 185 00:12:13,880 --> 00:12:18,319 Speaker 1: the other compound that's essential for making elastic and collagen 186 00:12:18,520 --> 00:12:21,560 Speaker 1: tissue in your skin is vitamin C, so make sure 187 00:12:21,600 --> 00:12:24,840 Speaker 1: you're getting plenty of VITAMINCY in your diet as well. 188 00:12:25,080 --> 00:12:27,480 Speaker 1: Of course citrus, but if you're not a big citrus 189 00:12:27,520 --> 00:12:31,720 Speaker 1: stand um. Other common foods so presently high in vitamncy 190 00:12:31,920 --> 00:12:36,719 Speaker 1: are strawberry, red peppers, key we They can find vitamincy 191 00:12:36,840 --> 00:12:40,079 Speaker 1: in a wide variety of food, so every meal should 192 00:12:40,120 --> 00:12:43,160 Speaker 1: have some food with vitamincy and some food with protein 193 00:12:43,679 --> 00:12:46,240 Speaker 1: because you can't store the vitamin. See, your body can't 194 00:12:46,240 --> 00:12:48,440 Speaker 1: store it, so it needs to daily supply. Yeah, you 195 00:12:48,480 --> 00:12:50,720 Speaker 1: pee it out, and pregnant women pea lots, so we 196 00:12:50,760 --> 00:12:54,720 Speaker 1: know that's going to happen. There's so many creams on 197 00:12:54,800 --> 00:12:59,880 Speaker 1: the market specifically geared to preventing stretch marks. What is 198 00:13:00,000 --> 00:13:01,800 Speaker 1: a point of view on that? What about the shave 199 00:13:01,840 --> 00:13:04,600 Speaker 1: butter and the cocoa butter and all that Scientists actually 200 00:13:04,640 --> 00:13:08,680 Speaker 1: have done studies on large numbers of women looking at 201 00:13:08,960 --> 00:13:14,080 Speaker 1: whether a specific oil and butter cream can can prevent 202 00:13:14,360 --> 00:13:19,200 Speaker 1: or reduce stretch marks, and there hasn't been any benefit 203 00:13:19,280 --> 00:13:22,800 Speaker 1: to cocoa, butter, olive oil, or vitamin ei. Those have 204 00:13:22,880 --> 00:13:26,240 Speaker 1: been studied the most, but some studies have shown that 205 00:13:26,440 --> 00:13:31,440 Speaker 1: daily massage with almond oil can help prevent and reduce 206 00:13:31,520 --> 00:13:35,040 Speaker 1: stretch marks. But we're not sure whether it's something in 207 00:13:35,080 --> 00:13:38,959 Speaker 1: the almond oil, or whether it's the daily massage that 208 00:13:39,040 --> 00:13:44,319 Speaker 1: helps to strengthen the elastic band or elastic tissue, or 209 00:13:44,559 --> 00:13:47,720 Speaker 1: whether it's it's some ingredients or some compoundness in the 210 00:13:47,720 --> 00:13:51,600 Speaker 1: almond oil. Other ingredients that have been shown in studies 211 00:13:51,600 --> 00:13:57,480 Speaker 1: to help prevent or reduce stretch marks are hyaluronic acid 212 00:13:57,720 --> 00:14:02,440 Speaker 1: and an ingredient called Sentella Santella asiatic. As a plant, 213 00:14:03,040 --> 00:14:05,839 Speaker 1: we think it's safe to use during pregnancy. It has 214 00:14:05,920 --> 00:14:11,960 Speaker 1: been used for years as a moisturizing ingredients um comes 215 00:14:12,000 --> 00:14:15,720 Speaker 1: from the go to cola plants in Asia, but recent 216 00:14:15,720 --> 00:14:18,640 Speaker 1: studies have shown that it may also help to prevent 217 00:14:19,240 --> 00:14:24,400 Speaker 1: and and reduced stretch marks, so look for stantella. Speaking 218 00:14:24,600 --> 00:14:28,600 Speaker 1: of bellies, the itching is real, so many women complain 219 00:14:28,720 --> 00:14:32,520 Speaker 1: about itchy bellies. Why does this happen? Is it just 220 00:14:32,560 --> 00:14:36,280 Speaker 1: the skin stretching and the dryness that results from that 221 00:14:36,760 --> 00:14:39,000 Speaker 1: all of the above. When you look at your skin, 222 00:14:39,080 --> 00:14:42,320 Speaker 1: you think about what happens when your belly expands the 223 00:14:42,320 --> 00:14:46,920 Speaker 1: surface area of the skin and larges, and you only 224 00:14:47,040 --> 00:14:50,640 Speaker 1: have a fixed number of oil glands producing skin oils, 225 00:14:50,680 --> 00:14:52,840 Speaker 1: and all of a sudden, your belly is two or 226 00:14:52,840 --> 00:14:55,720 Speaker 1: three or five times its normal flies. So there's not 227 00:14:55,880 --> 00:14:59,640 Speaker 1: enough oil to go around, and that's why your skin 228 00:15:00,120 --> 00:15:04,640 Speaker 1: lose this moisture what quickly in this condition called acetatosis, 229 00:15:04,680 --> 00:15:07,520 Speaker 1: which means that your skin doesn't have enough of its 230 00:15:07,600 --> 00:15:10,880 Speaker 1: natural oils. So the yes, dryness is a big part 231 00:15:10,920 --> 00:15:14,800 Speaker 1: of it, and especially in drier climates. So that's where 232 00:15:14,840 --> 00:15:18,600 Speaker 1: body oiled, body bombs, body butters come in. The Other 233 00:15:18,680 --> 00:15:22,080 Speaker 1: thing that happens is that as the belly skin stretches, 234 00:15:22,720 --> 00:15:25,040 Speaker 1: you can imagine the little nerve endings in the skin 235 00:15:25,120 --> 00:15:27,920 Speaker 1: are being irritated. They're saying, oh, wait a minute, wait 236 00:15:27,960 --> 00:15:29,680 Speaker 1: a minute. We're used to being in this division. All 237 00:15:29,680 --> 00:15:32,960 Speaker 1: of a sudden we're being stretched. And so as the 238 00:15:33,040 --> 00:15:37,200 Speaker 1: nerve endings get pulled and pushed into their new position. 239 00:15:37,800 --> 00:15:41,040 Speaker 1: The nerve endings get pickled and stimulated and that can 240 00:15:41,120 --> 00:15:43,840 Speaker 1: cause pitching as well. And then the last thing is 241 00:15:43,880 --> 00:15:46,760 Speaker 1: that either if you already have a history of zema 242 00:15:47,320 --> 00:15:50,560 Speaker 1: or not, you can have zema flare ups during pregnancy 243 00:15:50,600 --> 00:15:53,720 Speaker 1: that can happen on your belly and also sensitivities to 244 00:15:53,920 --> 00:15:57,520 Speaker 1: products that you were never sensitive to in the past. Yes, definitely, 245 00:15:58,080 --> 00:16:01,120 Speaker 1: a fairly common skin can do it, and that many 246 00:16:01,160 --> 00:16:05,360 Speaker 1: women have heard about pop It sounds so cute, I know, right, 247 00:16:06,280 --> 00:16:11,120 Speaker 1: what and how does it present? So a pub is 248 00:16:11,120 --> 00:16:15,640 Speaker 1: an acronym. Basically, it's an itchy, bumpy skin rash that 249 00:16:15,840 --> 00:16:22,400 Speaker 1: happens during pregnancy, often later in pregnancy, and most commonly 250 00:16:22,520 --> 00:16:26,600 Speaker 1: in first time moms. Word appears on the belly, often 251 00:16:26,920 --> 00:16:29,320 Speaker 1: right in those stretch marks, so it looks like little 252 00:16:29,400 --> 00:16:32,120 Speaker 1: hives and it can be very itchy and it can 253 00:16:32,160 --> 00:16:35,240 Speaker 1: sometimes spread elsewhere as well. The good news is that 254 00:16:35,400 --> 00:16:38,880 Speaker 1: it's nothing dangerous, but it can be very uncomfortable and 255 00:16:39,000 --> 00:16:42,280 Speaker 1: unsightly as well. On those with fair skin, it can 256 00:16:42,320 --> 00:16:44,800 Speaker 1: look pink, or if you have a deeper skin tone, 257 00:16:44,840 --> 00:16:48,800 Speaker 1: it can it can be skin colored or even look darker, 258 00:16:48,960 --> 00:16:53,360 Speaker 1: and regardless of where they are. I find that cold 259 00:16:53,640 --> 00:16:59,040 Speaker 1: helped to fight itch. It's almost like applying cold compresses 260 00:16:59,480 --> 00:17:04,080 Speaker 1: or cold temperature to the skin tricks your skin into 261 00:17:04,720 --> 00:17:07,000 Speaker 1: feeling the cold rather than the itch. So it's like 262 00:17:07,040 --> 00:17:10,160 Speaker 1: it's distracts the skins on the itch. What works better 263 00:17:10,240 --> 00:17:12,960 Speaker 1: and is less messy than a thick wash cloth is 264 00:17:13,040 --> 00:17:16,760 Speaker 1: take an old thin T shirt or a thin dish cloth, 265 00:17:16,880 --> 00:17:20,480 Speaker 1: wring it out in a bucket of ice water, and 266 00:17:20,520 --> 00:17:23,719 Speaker 1: put that on your skin. Leave it for a few minutes, 267 00:17:23,760 --> 00:17:27,920 Speaker 1: and change it a few times. Do not use ice, though, 268 00:17:28,119 --> 00:17:32,440 Speaker 1: because every year I have a couple of people who 269 00:17:32,960 --> 00:17:35,879 Speaker 1: come to see me with frost fights because they use 270 00:17:36,000 --> 00:17:38,400 Speaker 1: ice on their skin for various reasons. So do not 271 00:17:38,480 --> 00:17:42,119 Speaker 1: put ice directly on your skin. Cold is good, ice 272 00:17:42,359 --> 00:17:45,760 Speaker 1: not so good. What other kinds of rashes and skin 273 00:17:45,840 --> 00:17:50,680 Speaker 1: sensitivities are common during pregnancy, so heat rash is more 274 00:17:50,760 --> 00:17:56,119 Speaker 1: common heat rashes um. One condition that instant and moms 275 00:17:56,200 --> 00:18:01,399 Speaker 1: can get is miliaria. Miliaria is the medical term for 276 00:18:01,600 --> 00:18:05,760 Speaker 1: prickly heat. It can look like tiny little pimples that 277 00:18:05,800 --> 00:18:08,560 Speaker 1: can happen on areas that tend to sweat a lot 278 00:18:08,640 --> 00:18:14,000 Speaker 1: of chest and back stomach um. It can look like acne. 279 00:18:14,160 --> 00:18:18,040 Speaker 1: And if you have these rashes, don't just think, oh, 280 00:18:18,080 --> 00:18:21,520 Speaker 1: it's just pregnancy athne. If it's spreading, getting worse or 281 00:18:21,640 --> 00:18:24,760 Speaker 1: making you so uncomfortable, is keeping you up at night 282 00:18:24,920 --> 00:18:28,760 Speaker 1: and preventing you from going about your your daily activities, 283 00:18:29,600 --> 00:18:34,280 Speaker 1: call you doctor because sometimes people can get staff infections, 284 00:18:34,480 --> 00:18:38,240 Speaker 1: People can get fungus infections that can look like acne. 285 00:18:38,320 --> 00:18:41,280 Speaker 1: It can look like heat rash but just doesn't go away. 286 00:18:41,600 --> 00:18:44,920 Speaker 1: And you're more susceptible to infections when you're pregnant anyway, 287 00:18:45,080 --> 00:18:48,080 Speaker 1: So always check with your doctor, and check with your 288 00:18:48,080 --> 00:18:52,040 Speaker 1: doctor if you have any kind of unexplained rash because 289 00:18:52,080 --> 00:18:57,080 Speaker 1: it could be signed of a pregnancy complication. Now, the 290 00:18:57,160 --> 00:19:03,520 Speaker 1: forecast for pregnancy is patchy blotches, right, especially after spending 291 00:19:03,560 --> 00:19:07,400 Speaker 1: time in the sun. So let's talk about molasma, which 292 00:19:07,400 --> 00:19:11,240 Speaker 1: affects What do you say about fifty of pregnant women. 293 00:19:11,760 --> 00:19:14,240 Speaker 1: What is molasma and why is this so much more 294 00:19:14,280 --> 00:19:19,960 Speaker 1: common during pregnancy They have some studies say seventy of 295 00:19:20,000 --> 00:19:26,639 Speaker 1: pregnant women have discoloration. Molasma is a condition that produces dark, 296 00:19:26,800 --> 00:19:31,120 Speaker 1: discolored patches of skin, most commonly on your forehead, your cheeks, 297 00:19:31,280 --> 00:19:35,920 Speaker 1: your nose, and above your upper lips. Some people call 298 00:19:36,000 --> 00:19:39,040 Speaker 1: it the mask of pregnancy because it affects an area 299 00:19:39,160 --> 00:19:41,639 Speaker 1: that it kind of looks like a mask. Oh, so 300 00:19:41,680 --> 00:19:44,159 Speaker 1: you wouldn't see it right now during the pandemic and 301 00:19:44,440 --> 00:19:47,560 Speaker 1: wearing a mask I think is helping to present some 302 00:19:47,640 --> 00:19:51,280 Speaker 1: cases of malasma because there are different components. There seems 303 00:19:51,280 --> 00:19:54,800 Speaker 1: to be a genetic component, so oftentimes women the same 304 00:19:54,800 --> 00:19:58,040 Speaker 1: family all have molasma, all in the same pattern. The 305 00:19:58,160 --> 00:20:01,760 Speaker 1: reason that it's much more common pregnancy is that hormones 306 00:20:01,840 --> 00:20:05,480 Speaker 1: play a big role. It turns out that there are 307 00:20:06,040 --> 00:20:11,080 Speaker 1: receptors in your skin, specifically in the patches of melasma 308 00:20:11,400 --> 00:20:16,080 Speaker 1: that respond to estrogen, and the estrogen tells those skin 309 00:20:16,160 --> 00:20:20,720 Speaker 1: cells to pump out more pigment. As the estrogen level rises, 310 00:20:21,280 --> 00:20:24,800 Speaker 1: the the molasmas patches tend to get darker throughout the 311 00:20:24,880 --> 00:20:28,159 Speaker 1: course of your pregnancy. And those are factors that we 312 00:20:28,240 --> 00:20:31,399 Speaker 1: can't control. We can't control our genetics, we can't control 313 00:20:31,400 --> 00:20:33,320 Speaker 1: our hormones. I mean, the estrogen is doing a lot 314 00:20:33,320 --> 00:20:36,320 Speaker 1: of good things, so we don't want to affect that. 315 00:20:36,400 --> 00:20:39,200 Speaker 1: But two things actually that we can control that because 316 00:20:39,240 --> 00:20:43,200 Speaker 1: that can help to minimize the melasma are e v raised. 317 00:20:43,720 --> 00:20:47,560 Speaker 1: So really important to wear sunscreen, especially if you live 318 00:20:47,600 --> 00:20:50,200 Speaker 1: in a part of this country that has sun year round, 319 00:20:50,280 --> 00:20:52,919 Speaker 1: even in the winter. And then the second thing is 320 00:20:53,000 --> 00:20:57,560 Speaker 1: that heat can also aggravate molasma. So so I often 321 00:20:57,600 --> 00:21:02,160 Speaker 1: tell my patients don't just on sunscreen, but also try 322 00:21:02,240 --> 00:21:05,080 Speaker 1: to avoid heat. Meaning if you are going to go 323 00:21:05,160 --> 00:21:08,719 Speaker 1: for a walk outside and it's warm, carryous ray bottle. 324 00:21:09,440 --> 00:21:12,600 Speaker 1: Or if you're going to exercise indoors and you know 325 00:21:12,720 --> 00:21:16,200 Speaker 1: that you're someone that keeps up, use a cold wash 326 00:21:16,320 --> 00:21:19,879 Speaker 1: cloth or splashing face with cold water. So you're getting 327 00:21:19,960 --> 00:21:23,320 Speaker 1: hyper pigmentation and other parts of your body to the 328 00:21:23,560 --> 00:21:27,320 Speaker 1: standard the dark wine that that appears from your navel 329 00:21:27,720 --> 00:21:31,399 Speaker 1: down and it gets darker as your pregnancy progresses and 330 00:21:31,480 --> 00:21:37,560 Speaker 1: eventually phades. Although some of this hyper pigmentation it's a keeper. 331 00:21:38,080 --> 00:21:41,879 Speaker 1: You will have the slightly darker areal is and the 332 00:21:42,040 --> 00:21:46,440 Speaker 1: slightly darker labia because that's just part of pregnancy changes. 333 00:21:46,840 --> 00:21:50,960 Speaker 1: Can you explain that too, Is that the estrogen talking. Yes, 334 00:21:51,080 --> 00:21:54,679 Speaker 1: we we think that it's due to those tissues having 335 00:21:55,280 --> 00:22:00,680 Speaker 1: estrogen receptors as well. In fact, not only does abundance 336 00:22:00,720 --> 00:22:04,679 Speaker 1: of estrogen stimulate the skin pigment cell to produce more pigments. 337 00:22:04,720 --> 00:22:09,200 Speaker 1: But when you lose estrogen, or in women who have 338 00:22:09,240 --> 00:22:12,399 Speaker 1: had their ovaries removed and have no estrogen, the skin 339 00:22:12,480 --> 00:22:16,520 Speaker 1: tissues thin out. So we know that those areas are 340 00:22:16,600 --> 00:22:20,919 Speaker 1: particularly sensitive to estrogen. So there's a lot of estrogen 341 00:22:21,000 --> 00:22:25,119 Speaker 1: during your pregnancy, produces a lot of pigment. Estrogen levels 342 00:22:25,200 --> 00:22:29,320 Speaker 1: fall shortly after you deliver, and then the pigment fades. 343 00:22:29,440 --> 00:22:32,719 Speaker 1: But as you said, many times, your skin has memory, 344 00:22:33,200 --> 00:22:36,560 Speaker 1: and the thing goes for melasthma. Sometimes patients tell me, 345 00:22:36,600 --> 00:22:39,359 Speaker 1: why delivered six months ago? Why do I still have 346 00:22:39,440 --> 00:22:41,880 Speaker 1: these patches? They faded, but why are they still there? 347 00:22:42,200 --> 00:22:44,840 Speaker 1: Do your skin has memories. Just like your skin has 348 00:22:44,920 --> 00:22:48,159 Speaker 1: memory of lots of summers at the beach of the 349 00:22:48,320 --> 00:22:51,960 Speaker 1: pool coming out as freckles and sun damage on your face, 350 00:22:52,400 --> 00:22:54,840 Speaker 1: your skin also has memory of the estrogen it was 351 00:22:55,000 --> 00:22:59,560 Speaker 1: exposed to. It's nothing bad, nothing to be alarmed by, 352 00:22:59,680 --> 00:23:03,159 Speaker 1: and they are safe ways to try to brighten up 353 00:23:03,440 --> 00:23:07,080 Speaker 1: the pigmentation, whether it's on your body or whether it's 354 00:23:07,080 --> 00:23:09,800 Speaker 1: on your face. I'm a big fan of topical vitamin 355 00:23:09,880 --> 00:23:12,760 Speaker 1: C as a in brightening. I feel that that's safe. 356 00:23:13,000 --> 00:23:17,080 Speaker 1: Um nice cinemide also is another good ingredient. That I 357 00:23:17,200 --> 00:23:38,639 Speaker 1: like for it's antiflammatory and gets lightening is best. Okay. 358 00:23:38,720 --> 00:23:42,160 Speaker 1: So one of the most commonly asked questions in pregnancy, 359 00:23:42,200 --> 00:23:46,400 Speaker 1: no matter what the topic, skin products, is it safe? 360 00:23:47,640 --> 00:23:50,680 Speaker 1: So let's do an ingredient lightning route. I'm going to 361 00:23:50,800 --> 00:23:55,119 Speaker 1: give a common skincare ingredient and you say yea or 362 00:23:55,240 --> 00:24:01,720 Speaker 1: nay and explain why. Okay. Anti aging creams and retinoids. 363 00:24:01,760 --> 00:24:05,440 Speaker 1: Definitely nay on the retinoids, including over the counter retinal 364 00:24:05,800 --> 00:24:12,240 Speaker 1: retinal palmitates, over the counter different and prescription retinee pazarrack 365 00:24:12,800 --> 00:24:15,800 Speaker 1: tread to know and these are no no. During vitnacy 366 00:24:15,960 --> 00:24:20,639 Speaker 1: and breast feeding um there is centraal risk, force, systemic absorption, 367 00:24:20,760 --> 00:24:24,400 Speaker 1: and risk of books effects, so definitely stay away from them. 368 00:24:24,400 --> 00:24:28,320 Speaker 1: That's a vitamin A. They are all vitamin A derivatives. Yes, 369 00:24:28,640 --> 00:24:30,840 Speaker 1: But a lot of my patients asked me, okay, well 370 00:24:30,880 --> 00:24:33,440 Speaker 1: I stopped all of my anti aging creams. What can 371 00:24:33,520 --> 00:24:37,520 Speaker 1: I use? And I go back to vitamin C. Because 372 00:24:37,560 --> 00:24:40,199 Speaker 1: not only is vitamin C and natural skin brightener, but 373 00:24:40,720 --> 00:24:44,200 Speaker 1: we talked about how vitamin C is essential for building 374 00:24:44,200 --> 00:24:48,320 Speaker 1: strong collagen. So vitamin C applied on your skin topically 375 00:24:48,840 --> 00:24:53,000 Speaker 1: helped to strengthen your skin's collagen um. The other ingredients 376 00:24:53,000 --> 00:24:55,560 Speaker 1: that I like for anti aging, especially if your skin 377 00:24:55,600 --> 00:24:58,320 Speaker 1: starts to look a dull or you have those discolored 378 00:24:58,359 --> 00:25:04,520 Speaker 1: molasma patches for dass, fruit acid, lactic acid, glacolic acid. 379 00:25:05,080 --> 00:25:07,520 Speaker 1: Your skin is more sensitive, so don't go overboard, but 380 00:25:07,800 --> 00:25:10,119 Speaker 1: using those a few times a week would be safe. 381 00:25:10,920 --> 00:25:17,560 Speaker 1: Essential oils and aromatherapy, so for instance, rose oil, yea 382 00:25:17,720 --> 00:25:22,919 Speaker 1: and nay because uh, you you make more sensitive to 383 00:25:23,200 --> 00:25:26,879 Speaker 1: odors and scents during pregnancy, so it's best to go 384 00:25:27,200 --> 00:25:29,800 Speaker 1: easy if you are going to use an essential oil. 385 00:25:30,320 --> 00:25:33,960 Speaker 1: You mentioned rose oil. There are some essential oils that 386 00:25:34,040 --> 00:25:37,359 Speaker 1: have been shown to be safe um during pregnancy, and 387 00:25:37,400 --> 00:25:41,919 Speaker 1: those are considered safe are rose oil, lavender, and lemon oil. 388 00:25:42,200 --> 00:25:44,760 Speaker 1: But if you are going to use them, try to 389 00:25:44,840 --> 00:25:48,160 Speaker 1: dilute them and maybe use them in a diffuser rather 390 00:25:48,240 --> 00:25:50,480 Speaker 1: than putting them directly on your skin. That way you 391 00:25:50,520 --> 00:25:56,439 Speaker 1: get the aromatherapy benefits without absorbing into your skin and 392 00:25:56,520 --> 00:26:00,920 Speaker 1: without making you nauseous from the scent alay. And that's 393 00:26:00,920 --> 00:26:03,840 Speaker 1: the estrogen talking to, by the way, the sensitivity to 394 00:26:03,920 --> 00:26:08,760 Speaker 1: smells that those pregnancy hormones. Speaking of estrogen, hormones um. 395 00:26:09,000 --> 00:26:12,880 Speaker 1: There are a couple of oils that I would recommend 396 00:26:12,920 --> 00:26:17,679 Speaker 1: staying away from, and those the basil and fennel seed oil, 397 00:26:17,800 --> 00:26:21,159 Speaker 1: because those have some evidence suggesting that they could be 398 00:26:21,400 --> 00:26:25,960 Speaker 1: endocrine disruptors to baby. But it's fine to eat basil 399 00:26:26,560 --> 00:26:29,199 Speaker 1: as an herb or fennel seed as an herb. The 400 00:26:29,280 --> 00:26:33,600 Speaker 1: concentrated oils are no not How about peppermint oil. A 401 00:26:33,640 --> 00:26:38,000 Speaker 1: lot of women suffer from flaky scalps during pregnancy, and 402 00:26:38,040 --> 00:26:40,239 Speaker 1: that's something that people say to try. What are your 403 00:26:40,280 --> 00:26:44,520 Speaker 1: thoughts on that. Peppermint oil is generally considered safe, so 404 00:26:44,600 --> 00:26:47,240 Speaker 1: that's a ya. And are there other things you can 405 00:26:47,320 --> 00:26:52,480 Speaker 1: use for flaky scalp? You can use a topical zinc shampoo. 406 00:26:52,840 --> 00:26:55,840 Speaker 1: Zinc is a natural anti inflammatory um, and I think 407 00:26:55,840 --> 00:27:00,880 Speaker 1: it's important to ask a doctor whether it's dryness or 408 00:27:00,920 --> 00:27:05,080 Speaker 1: whether it's itching and flaking, because you can have dry 409 00:27:05,160 --> 00:27:08,840 Speaker 1: scalp which will respond to a serum or maybe a 410 00:27:08,920 --> 00:27:14,920 Speaker 1: scalped scrub or or a scalped oil. But if there's 411 00:27:15,080 --> 00:27:19,640 Speaker 1: itching or red patches, then that could signify and overgrow 412 00:27:19,680 --> 00:27:22,320 Speaker 1: the yeast, which could be made worse by oil, and 413 00:27:23,000 --> 00:27:26,720 Speaker 1: that usually is treated with anti yeast Okay, what about 414 00:27:26,760 --> 00:27:29,600 Speaker 1: treatments in a dermatologist's office once we're able to visit 415 00:27:29,640 --> 00:27:35,320 Speaker 1: the dermatologists on a regular basis. Microdermabration, facials, derma planing 416 00:27:35,440 --> 00:27:40,000 Speaker 1: where they scrape your skin. What say you if you're pregnant, 417 00:27:40,640 --> 00:27:44,600 Speaker 1: as long as these trainers don't make you feel faint. 418 00:27:45,040 --> 00:27:51,760 Speaker 1: So microdermabration typically involved using the crystals to buff the 419 00:27:51,840 --> 00:27:54,320 Speaker 1: dead skin off of your face, so that would be safe. 420 00:27:54,680 --> 00:27:58,920 Speaker 1: Derma planing, which it's almost like getting a straight raised 421 00:27:59,000 --> 00:28:03,000 Speaker 1: or shape basy use this scalpel to remove dead skin 422 00:28:03,119 --> 00:28:06,040 Speaker 1: and also peached butts off of your face. That doesn't 423 00:28:06,080 --> 00:28:09,800 Speaker 1: involve anything entering your your bloodstream, so that would be 424 00:28:09,840 --> 00:28:14,240 Speaker 1: safe as long as you go to an experienced estheticition 425 00:28:14,359 --> 00:28:17,440 Speaker 1: doing that. UM and there are other in office treatments 426 00:28:17,480 --> 00:28:19,399 Speaker 1: that would be safe to do as well, such as 427 00:28:19,400 --> 00:28:23,720 Speaker 1: a gentle lactic acid peel, a gentle blood colleagu gap 428 00:28:23,760 --> 00:28:26,439 Speaker 1: of peel, because these are left on your skin for 429 00:28:26,920 --> 00:28:29,600 Speaker 1: just minutes at a time and then live stuff and 430 00:28:29,600 --> 00:28:33,400 Speaker 1: and of course extractions are safe. Extractions helped to unclog 431 00:28:33,480 --> 00:28:36,480 Speaker 1: your pores manually, and it's safer to let the professional 432 00:28:36,520 --> 00:28:40,640 Speaker 1: do it. There's a caveat on when you're having a procedure, 433 00:28:41,240 --> 00:28:44,800 Speaker 1: whether it's a facial or something else where you're could 434 00:28:44,800 --> 00:28:47,280 Speaker 1: be lying on your back for an extended period of time. 435 00:28:47,600 --> 00:28:50,400 Speaker 1: You should avoid that after the fourth month, so make 436 00:28:50,440 --> 00:28:53,800 Speaker 1: sure you're semi sitting at least and if you do, 437 00:28:53,920 --> 00:28:58,000 Speaker 1: go in to see your esthetition or your dermatologists once 438 00:28:58,040 --> 00:29:00,880 Speaker 1: it's safe to do so. Just make sure you tell 439 00:29:00,920 --> 00:29:05,160 Speaker 1: everyone that you're expecting. What about fillers, So pregnancy, I 440 00:29:05,200 --> 00:29:09,080 Speaker 1: would say makes your face plentiful, But say the pandemic 441 00:29:09,120 --> 00:29:12,520 Speaker 1: goes over, you're able to make an appointment for fillers 442 00:29:12,600 --> 00:29:14,840 Speaker 1: or for botox YEA or nay on those when you're 443 00:29:14,880 --> 00:29:19,560 Speaker 1: pregnant or breastfeeding. NAY. I always advise my patients to 444 00:29:20,560 --> 00:29:26,040 Speaker 1: postpone any elective procedures, especially anything involving products being injected 445 00:29:26,080 --> 00:29:30,520 Speaker 1: into your skin until after pregnancy and after breastfeeding. UM. 446 00:29:30,880 --> 00:29:33,520 Speaker 1: Not so much that we're worried about filler getting into 447 00:29:33,560 --> 00:29:36,560 Speaker 1: the blood stream, because it won't. But number one, a 448 00:29:36,560 --> 00:29:40,440 Speaker 1: lot of fillers contain why decaine an esthetic, so spending 449 00:29:40,440 --> 00:29:42,280 Speaker 1: on how much you're getting, we don't want that spilling 450 00:29:42,280 --> 00:29:46,200 Speaker 1: into the bloodstream and affecting baby. And secondly, women tend 451 00:29:46,240 --> 00:29:49,760 Speaker 1: to be more sensitive during pregnancy, and we don't want 452 00:29:49,760 --> 00:29:53,240 Speaker 1: anyone painting or dropping the blood pressure. That makes sense. 453 00:29:53,400 --> 00:29:57,560 Speaker 1: What about deodorant, so you do sweat less under your 454 00:29:57,640 --> 00:30:00,200 Speaker 1: armpits when you're pregnant, But do you recomm and the 455 00:30:00,240 --> 00:30:05,120 Speaker 1: patients switched to an aluminium free or natural deodorant, Well, 456 00:30:05,200 --> 00:30:08,560 Speaker 1: many of my patients are looking for products that are 457 00:30:08,800 --> 00:30:12,960 Speaker 1: more natural or organic and aluminum free. Um. I think 458 00:30:13,000 --> 00:30:18,360 Speaker 1: that's a personal decision. Medically, most of us, the dermatologists 459 00:30:18,680 --> 00:30:23,320 Speaker 1: do not believe that aluminium is dangerous for mom or baby. Uh, 460 00:30:23,360 --> 00:30:27,560 Speaker 1: And certainly aluminium is more effective than the natural deodorants. 461 00:30:27,680 --> 00:30:32,160 Speaker 1: There's a difference between antiperspirit and deodorant. Aluminium is used 462 00:30:32,320 --> 00:30:36,040 Speaker 1: for moisture control. And if you find that you're not 463 00:30:36,080 --> 00:30:40,480 Speaker 1: sweating as much and the moisture problem is less, but 464 00:30:40,760 --> 00:30:42,920 Speaker 1: you still have odor, then I think that would be 465 00:30:43,040 --> 00:30:47,120 Speaker 1: a great opportunity to look for a natural deodorant. So, 466 00:30:47,280 --> 00:30:50,040 Speaker 1: just in general about natural and organic products, they get 467 00:30:50,200 --> 00:30:54,720 Speaker 1: so much buzz, but are they worth it? Are they 468 00:30:54,800 --> 00:30:59,280 Speaker 1: quote unquote naturally better for pregnancy? In general, I tell 469 00:30:59,320 --> 00:31:03,920 Speaker 1: my patients that because the product is natural doesn't mean 470 00:31:03,960 --> 00:31:08,960 Speaker 1: that it's harmless. And likewise, because of products contains preservative 471 00:31:09,120 --> 00:31:13,400 Speaker 1: or a pharmaceutical doesn't mean it's toxic and dangerous. I 472 00:31:13,400 --> 00:31:17,560 Speaker 1: think it's important to address the concern. If you have 473 00:31:18,480 --> 00:31:22,600 Speaker 1: a severe rash and it's keeping up at night and 474 00:31:22,680 --> 00:31:24,920 Speaker 1: you can't work, you can't take care of your other 475 00:31:24,960 --> 00:31:28,920 Speaker 1: little ones, are miserable, then maybe it's time for something 476 00:31:28,960 --> 00:31:32,280 Speaker 1: prescriptions during for a short period of time. But if 477 00:31:32,280 --> 00:31:36,200 Speaker 1: it's something that can be addressed naturally, and you choose 478 00:31:36,240 --> 00:31:38,560 Speaker 1: to and you can afford that, it's in your budgets, 479 00:31:38,560 --> 00:31:41,400 Speaker 1: and by all means great. So I want to end 480 00:31:41,440 --> 00:31:44,000 Speaker 1: on a high note. Let's hear it for the goods 481 00:31:44,040 --> 00:31:47,640 Speaker 1: that pregnancy hormones do, and that would be to your 482 00:31:47,720 --> 00:31:53,000 Speaker 1: hair and to your nails. Yes, so your body is 483 00:31:53,160 --> 00:31:56,440 Speaker 1: in addition to growing into the human inside you. It's 484 00:31:56,680 --> 00:32:01,040 Speaker 1: metabolism is red Depp. So often hair gets thick, nails 485 00:32:01,080 --> 00:32:04,760 Speaker 1: can grow faster, and only that you mentioned that your 486 00:32:05,080 --> 00:32:08,280 Speaker 1: face can get fuller, and so people often will look 487 00:32:08,440 --> 00:32:11,920 Speaker 1: younger and more glowy. There's that increased circulation to the 488 00:32:12,080 --> 00:32:15,240 Speaker 1: skin because the blood flow increases. Of all of these 489 00:32:15,280 --> 00:32:18,920 Speaker 1: things give you the glow of pregnancy. And I think 490 00:32:19,120 --> 00:32:22,560 Speaker 1: it's it's the time to embrace these changes. Um. We 491 00:32:22,560 --> 00:32:27,080 Speaker 1: we spent a lot of today talking about unwanted things 492 00:32:27,120 --> 00:32:30,560 Speaker 1: that happened. But yeah, there's so much good. There's so 493 00:32:30,680 --> 00:32:34,800 Speaker 1: much to celebrate, and those those pregnancy hormones do a 494 00:32:34,880 --> 00:32:38,160 Speaker 1: lot of good. Well, thank you so much for joining 495 00:32:38,240 --> 00:32:41,120 Speaker 1: us today and answering all our questions. I'm glad we 496 00:32:41,200 --> 00:32:45,000 Speaker 1: finally found that glow. Yeah, it was there all the time. 497 00:32:46,640 --> 00:32:56,760 Speaker 1: Think a lot. You're welcome, baby, my baby belowse I 498 00:32:56,800 --> 00:33:03,000 Speaker 1: need you, Oh how I need you. Thanks for listening. Remember, 499 00:33:03,280 --> 00:33:06,440 Speaker 1: I'm always here for you. What to Expect is always 500 00:33:06,480 --> 00:33:10,000 Speaker 1: here for you. We're all in this together. For more 501 00:33:10,040 --> 00:33:12,840 Speaker 1: on what you heard on today's episodes, visit what to 502 00:33:12,920 --> 00:33:16,520 Speaker 1: Expect dot com slash podcast. You can also check out 503 00:33:16,600 --> 00:33:19,240 Speaker 1: What to Expect when You're Expecting, What to Expect the 504 00:33:19,280 --> 00:33:22,800 Speaker 1: first Year, and the What to Expect app And we 505 00:33:23,000 --> 00:33:26,080 Speaker 1: want to hear from you. Connect with us on our 506 00:33:26,080 --> 00:33:29,800 Speaker 1: community message board or on our social media. You can 507 00:33:29,840 --> 00:33:33,800 Speaker 1: find me at Heidi Murkoff and Emma at Emma Being 508 00:33:34,040 --> 00:33:37,640 Speaker 1: w t E and of course at What to Expect. 509 00:33:38,440 --> 00:33:42,360 Speaker 1: Baby Love is performed by Riley Bider. What to Expect 510 00:33:42,520 --> 00:33:45,800 Speaker 1: is a production of I Heart Radio From more shows 511 00:33:45,840 --> 00:33:49,160 Speaker 1: from I heart Radio, check out the I heart Radio app, 512 00:33:49,400 --> 00:33:53,520 Speaker 1: Apple podcasts, or wherever you listen to your favorite shows. 513 00:33:54,760 --> 00:34:00,800 Speaker 1: In My Arms, What Don't Just Stay Lija, ne Joe, 514 00:34:01,760 --> 00:34:10,400 Speaker 1: Baby Love, Baby, Loom