Salicylic Acid (BHA) during Pregnancy

Topical salicylic acid at ≤2% is considered acceptable during pregnancy — endorsed by ACOG.

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concentration at or below: 2%

this can stay in your routine.

Topical salicylic acid at ≤2% is considered acceptable during pregnancy — endorsed by ACOG.

how to use it. Standard 0.5–2% leave-on and wash-off use continues. Limit application to <20% of body surface area.

concentration above: 2%

pause it for this moment.

Peel-level salicylic acid (>2%) and oral salicylates should be avoided in pregnancy.

how to use it. Delay chemical peels containing salicylic acid until after pregnancy.

why it works. Systemic absorption from topical use at OTC concentrations is minimal. ACOG explicitly lists topical salicylic acid as a pregnancy-permissible acne option.

Reviewed with 4 sources on 2026-07-03.

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