Dermatologic surgery and cosmetic procedures during pregnancy and the post-partum period

Goldberg, Dori; Maloney, Mary E.

doi:10.1111/dth.12072

Cited by 20 publications

(21 citation statements)

References 56 publications

(84 reference statements)

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“…Due to a lack of controlled trials, individual case reports and commentaries were included in the review. Prior review literature including papers by Goldberg and Maloney (2013) and Lee et al (2013) was also referenced.…”

Section: Methodsmentioning

confidence: 99%

A review of the safety of cosmetic procedures during pregnancy and lactation

Trivedi

Kroumpouzos

Murase

2017

International Journal of Women's Dermatology

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The safety of cosmetic procedures in patients who are pregnant and/or lactating is a complex clinical question surrounded by uncertainty. Our objective is to consolidate data on the safety of commonly requested cosmetic procedures during pregnancy and lactation after a systematic review of the current literature to guide evidence-based care in the future. A systematic search of the PubMed database was conducted for articles on cosmetic procedures during pregnancy and lactation. Due to a lack of controlled trials, case reports and series were considered. Minor procedures such as shave, punch, snipping, and electrocautery are considered safe. With respect to chemical peels, glycolic and lactic acid peels are deemed safe; however, trichloracetic and salicylic acid peels should be avoided or used with caution. Although safety data on botulinum toxin A is insufficient, the procedure may be safe because systemic absorption and placental transfer are negligible. Sclerotherapy can be safe during pregnancy but must be avoided during the first trimester and after week 36 of the pregnancy. Laser and light therapies have been considered generally safe for patients with granulomatous conditions and condylomata. Epilation should be limited to waxing, shaving, and topical treatments instead of permanent procedures. In patients who are lactating, most therapies discussed above are safe but fat transfer, sclerotherapy, and tumescent liposuction are not recommended. Better evidence is needed to make concrete recommendations on the safety of cosmetic therapy during pregnancy and lactation but preliminary evidence suggests excellent safety profiles for many commonly requested cosmetic procedures.

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Section: Methodsmentioning

confidence: 99%

A review of the safety of cosmetic procedures during pregnancy and lactation

Trivedi

Kroumpouzos

Murase

2017

International Journal of Women's Dermatology

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“…Due to changes in hormones and tension factors, pregnancy is linked with the development of hypertrophic and keloid scarring [8]. There is also an increased incidence of hyperpigmentation during pregnancy [9]. Therefore, performing aesthetic procedures during pregnancy could lead to worse aesthetic outcomes in the long-term.…”

Section: General Procedural Risks During Pregnancymentioning

confidence: 99%

“…In reality, fillers are probably safe for use in pregnancy, however, the lack of safety evidence and manufacturer recommendations stating that they should not be used during pregnancy mean their use should be delayed until after pregnancy if possible. Other factors to consider when administering fillers in pregnant women are the altered scar healing processes in pregnancy, susceptibility to hyperpigmentation and the concurrent use of lidocaine for the procedure [9].…”

Section: Dermal Fillersmentioning

confidence: 99%

A Review of the Safety of Common Aesthetic Procedures during Pregnancy

Jakharia-Shah

Chadha

Watson

2017

IPCB

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The prevalence of aesthetic procedures has increased exponentially over the last decade. Pregnancy causes many aesthetic changes in a woman, such as melasma, hirsutism and striae. Although these are temporary in most cases, they can be distressing to the mother. As such, the desire to undergo aesthetic procedures can increase during this period. A variety of procedures exist, however, their safety profiles have usually been determined by tests on non-pregnant volunteers. The changes that occur in pregnancy and the presence of a foetus, which is susceptible to a wider range of toxins, means this data cannot be directly transferred to dictate pregnancy safety profiles. In general, most aesthetic procedures and agents are deemed to be safe to use in pregnancy, however, the health of both mother and foetus should be paramount. Aesthetic procedures are non-urgent, therefore, best practice would be to centre consultations on patient counselling, encouraging patients to delay procedures until after pregnancy.

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“…Antissépticos locais Preparações usadas como antissépticos e desinfetantes locais contendo álcool etílico e clorohexidina parecem passíveis de ser utilizados com segurança durante a gravidez. 52 Nenhum caso de toxicidade em lactentes amamentados por mães expostas a este tipo de preparações foi publicado.…”

Section: Hidroquinona (Categoria De Risco C Pela Fda)unclassified

“…52,53 O seu uso durante a amamentação aumenta os níveis de iodo no leite materno podendo induzir hipotireoidismo transitório em lactentes, sendo por isso contraindicado. 54 …”

Section: Hidroquinona (Categoria De Risco C Pela Fda)unclassified

Gravidez, Aleitamento e Fármacos em Dermatologia: Tratamento Tópico

César

Azevedo

Mota

2017

SPDV

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RESUMO -O crescente número de fármacos empregues na prática dermatológica e venereológica exige do dermatologista um conhecimento atualizado relativo à sua segurança. No caso particular de mulheres grávidas ou que amamentem, a decisão sobre se se deve ou não tratar com um determinado fármaco deve basear-se numa avaliação ponderada dos benefícios para a saúde materna e dos riscos potenciais para o bem-estar fetal ou do lactente. Quando estas doentes necessitam terapêuticas tópicas ou sistémicas, a maioria pode ser adequadamente tratada com opções consideradas seguras e eficazes. Esta segunda parte deste artigo aborda os dados mais recentes relativos à segurança de alguns dos medicamentos tópicos mais comummente usados em contexto dermatológico, na mulher em idade fértil. PALAVRAS-CHAVE - INTRODUÇÃOAs mulheres podem sofrer de uma grande variedade de doenças do foro dermatológico e venereológico durante as diferentes fases da vida. Algumas dessas doenças são típi-cas do período gestacional ou do período pós-parto e, além disso, as mulheres com dermatoses pré-existentes podem engravidar no decurso do tratamento da doença. Estas particularidades colocam desafios especiais na prescrição em mulheres em idade fértil.Antes de prescrever um medicamento a uma mulher em idade fértil é fundamental determinar em que fase deste período a doente se encontra e atender aos seguintes aspetos:-Se toma medidas contracetivas e quais os métodos utilizados; -Se está a tentar engravidar ou não toma medidas ativas de prevenção da gravidez; -Se está atualmente grávida (e qual a idade gestacional) ou; -Se está a amamentar. Este conhecimento é fundamental, já que irá determinar as opções terapêuticas em cada situação. Importa referir que Revista SPDV 75(1) 2017; Gravidez, aleitamento e fármacos em dermatologia;

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Dermatologic surgery and cosmetic procedures during pregnancy and the post-partum period

Cited by 20 publications

References 56 publications

A review of the safety of cosmetic procedures during pregnancy and lactation

A review of the safety of cosmetic procedures during pregnancy and lactation

A Review of the Safety of Common Aesthetic Procedures during Pregnancy

Gravidez, Aleitamento e Fármacos em Dermatologia: Tratamento Tópico

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