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Some of the most prevalent skin changes in pregnancy are: Hyperpigmentation and dark spots on the breasts or inner thighs Melasma, or pregnancy mask, discolouration patches on the face around the forehead, cheeks, and nose Linea nigra, a dark line that runs vertically from the navel towards the pelvis Acne Common skin changes in pregnancy can be blamed on hormone fluctuations, but the root cause of some skin changes is still unknown