Can You Use Retinol During Pregnancy or Breastfeeding? A Complete Guide

Retinol is one of the most talked-about skincare ingredients — and for good reason. It can help improve skin texture, boost collagen, and reduce fine lines. But if you’re pregnant, trying to conceive, or breastfeeding/chest feeding, it’s important to know how retinol fits into your skincare routine.

 

This isn’t about panic or perfection. It’s about having the information you need to make the choices that feel right for you.

 

A quick note: I’m a doula, not a doctor. This post is for informational purposes only and should not replace medical advice. Always consult your care provider or dermatologist before starting, stopping, or changing any skincare product during pregnancy, postpartum, or lactation.

 

What Is Retinol?

 

Retinol is a form of vitamin A, often found in creams, serums, and prescription treatments (like tretinoin). It works by speeding up cell turnover and stimulating collagen production.

 

In skincare, you might see:

• Over-the-counter retinoids (like retinol, retinaldehyde) — gentler, but still active.
• Prescription retinoids (like tretinoin, adapalene, tazarotene) — stronger, higher concentration.

 

Retinol and Pregnancy

 

Most experts, including dermatologists and obstetricians, recommend avoiding topical retinoids during pregnancy. This is because high doses of vitamin A (particularly oral retinoids like isotretinoin) are known to cause birth defects, and while topical absorption is lower, we don’t have enough definitive research to call it safe.

 

What to use instead:

• Vitamin C serums for brightening
• Niacinamide for barrier support and redness reduction
• Azelaic acid for texture and acne
• Gentle chemical exfoliants (like lactic acid) in moderation

 

Retinol and Breastfeeding/Chest Feeding

 

The research here is less clear. Most dermatology resources advise caution, as retinoids can potentially be absorbed through the skin and passed into breastmilk in small amounts.

 

General guidelines:

• Avoid applying retinol to areas where your baby’s skin will come into direct contact.
• If you decide to use it, apply at night and wash the area thoroughly before skin-to-skin.
• Consider pausing until after lactation if you prefer the most conservative approach.

 

Retinol in the Postpartum Stage (Not Lactating)

 

If you’re not breastfeeding/chest feeding, you can usually reintroduce retinol into your routine once your skin has recovered from the hormonal shifts of pregnancy.

• Start slowly — your skin barrier might be more sensitive postpartum.
• Use SPF daily, as retinol increases sun sensitivity.
• Pair with a hydrating serum or cream to minimize irritation.

 

Perinatal-Friendly Skin Renewal Alternatives

 

If you want some of retinol’s benefits without the risk during pregnancy and lactation, look for:

• Bakuchiol — a plant-derived retinol alternative that’s generally considered safe.
• Peptides — for collagen support.
• AHAs (like glycolic or lactic acid) — gentle exfoliation.
• Ceramides — for barrier repair.

 

TL:DR

• Pregnancy: Best to avoid all forms of topical and oral retinoids.
• Breastfeeding/chest feeding: Caution is advised; avoid baby contact with treated skin.
• Postpartum (not lactating): You can typically resume with a gradual reintroduction.
• Always confirm with your care provider or dermatologist, especially if you’re using prescription-strength retinoids.

 

💛 Perinatal care isn’t just about babies — your well-being matters too.

 

HI! I’m Alix, the founder of TENDER.LY, where I provide compassionate, judgment-free support to growing families. With a background in postpartum care, infant feeding, and mental health first aid, I specialize in supporting neurodivergent parents as they navigate pregnancy, birth, and the early years of parenthood. My approach is all about meeting families where they are, offering ADHD-friendly strategies, and helping parents feel more confident and supported in their journey.

Looking for personalized support? Let’s connect! Follow me @lovetender.ly_doula