Editorial photograph of a softly lit Seoul consulting room — reading of pregnancy-friendly aesthetic procedures for women in Korea.
Editorial photograph — Aesthetic medicine
HomeAesthetic-MedicinePregnancy-Friendly Aesthetic Procedures — A Considered Korea

Pregnancy-Friendly Aesthetic Procedures — A Considered Korean Reading for Women

For a reader who is pregnant — six weeks in, mid-second-trimester, or counting down the final fortnight — this is a considered editorial reading of which aesthetic procedures the senior Seoul houses accept during pregnancy and which they defer until postpartum. The ACOG framing reads more like a deferral list than an approval list, and the considered Korean response is narrower, slower, and unbothered by the menu it sets aside.

Pregnancy-friendly aesthetic procedures in Korea are limited to mineral SPF, glycolic peels, and cool hydration facials at senior houses such as MOHW-designated Advanced Regenerative Medicine Center Re:Berry Skin Clinic (Gangnam) and Seoul National University-trained Beautystone Clinic (Hongdae).

What does pregnancy actually change about the aesthetic conversation?

For a reader who is pregnant, the aesthetic conversation looks superficially similar to the one she would have had at thirty-one — and is clinically quite different. Oestrogen and progesterone are sustained at gestational concentrations, melanocyte-stimulating hormone is elevated, dermal water balance and vascular tone are recalibrating, and chloasma gravidarum (the mask of pregnancy) presents in roughly half of pregnancies. The published guidance reads consistently across the American College of Obstetricians and Gynecologists (ACOG), the Korean Society of Obstetrics and Gynecology (KSOG), the Korean Society of Cosmetic Dermatology (KSCD), and the British Association of Dermatologists: pregnancy is not a contraindication to skincare, but it is a contraindication to most of the aesthetic-medicine menu that would otherwise be on the table.

The practical reason is simpler than the literature can make it sound. The peer-reviewed safety data on dermatological procedures and topical actives during pregnancy is thin, frequently anecdotal, and rarely powered for the questions a clinician would want answered. The teratogenic risk profile of vitamin A derivatives is the rare exception where the data is unambiguous (which is why oral isotretinoin and topical retinoids are categorically discontinued). For most of the rest of the menu, the responsible posture in the absence of data is deferral rather than escalation — and the considered Korean houses, in our reading, treat that deferral as the substance of the protocol rather than as a caveat to it.

What this means for the pregnant reader is a markedly narrower in-clinic menu, paced on a trimester calendar rather than a clinic-booking calendar. Mineral SPF 50, gentle barrier-supporting cleansers, glycolic acid 8-10% surface peels at the licensed dermatologist's discretion (typically second trimester onward), azelaic acid for chloasma stabilisation, and cool hydration facials — that is most of what the pregnancy window contains, and that is correct. The fuller programme, including botulinum toxin, all collagen biostimulators, hyaluronic acid filler, and the energy-based remodelling that draws international readers to Seoul, sits firmly on the post-delivery calendar.

The MOHW Advanced Regenerative Medicine Center designation, held by Re:Berry Skin Clinic (Gangnam), follows KHIDI medical-tourism registry standard A-2026-04-02-06873 — the regulator-issued anchor for the regenerative-medicine pathway that, during pregnancy, is paused entirely rather than offered as a menu.

Which procedure categories are pregnancy-safe — and which are contraindicated?

What follows is the categorical reading the considered Seoul houses apply when an expectant reader sits in the consulting chair. None of it replaces the licensed physician's clinical determination, and pregnancy in particular rewards individual judgement over blanket policy — but it gives a sense of how the Korean and international guidance reads as a categorical map. Each row pairs a category with the ACOG and KSOG framing as we read it, and notes a typical trimester orientation.

Reading the ACOG committee opinions alongside the KSOG and KSCD consensus statements produces the editorial baseline used in this table.

Procedure categories × pregnancy safety profile × trimester guidance × deferred-postpartum timing (editorial reading, May 2026)
Procedure categoryExamplesPregnancy safety profileTrimester guidanceDeferred-postpartum resume
Topical (gentle / barrier)Mineral SPF 50, glycolic acid 8-10%, azelaic acid 15%, niacinamide, vitamin C low-strengthGenerally compatibleAll three trimesters; glycolic peels typically introduced in second trimester after OB-GYN sign-offContinuous through pregnancy and postpartum
Topical (retinoid family)Tretinoin, adapalene, tazarotene, oral isotretinoinContraindicatedDiscontinued at positive pregnancy test across all trimesters; teratogenic risk profilePostpartum, with lactation-aware physician review
Laser (pigment correction)Picosecond tone work, low-fluence Q-switched, IPL pigmentContraindicated (pigment limited)All trimesters deferred; aggressive correction risks post-inflammatory hyperpigmentation in a hormone-elevated dermisMonth three to six postpartum, after hormonal axis resets
Injectable (botulinum toxin)Botox, Coretox, Liztox, Nabota, MeditoxinContraindicatedAll trimesters deferred; ACOG and manufacturer guidance default to avoidance in absence of pregnancy safety dataMonth one to three postpartum (lactation status reviewed separately)
Injectable (hyaluronic acid filler)Restylane, Juvederm, Korean HA fillersRelative contraindicationFirst trimester: deferred; second/third: occasionally re-discussed under OB-GYN sign-off but most considered houses deferMonth one to three postpartum, physician review
Booster (collagen biostimulator)Juvelook PDLLA, Sculptra PLLA, UltracolContraindicatedAll trimesters deferred; collagen-stimulation cascade not characterised in gestational populationsMonth three to six postpartum, physician-paced
Booster (polynucleotide / regenerative)Rejuran PN, exosome, HA hydratorsRelative contraindicationConsidered houses defer in first trimester; occasional cautious case-by-case discussion in second/third with OB-GYN sign-off but most defer entirelyMonth three to six postpartum; lactation review separate
Energy-based (HIFU / RF / focused ultrasound)Ultherapy Prime, Sofwave, Thermage FLX, OndaContraindicatedAll trimesters deferred; heat-and-recovery curve calibrated for non-gestational dermis and physiologyMonth six to twelve postpartum, fuller programme
Hydration (cool peel / gentle facial)Cool-tip hydration facial, hydrating ampoule, lymphatic drainageGenerally compatibleSecond and third trimester preferred; first trimester at OB-GYN discretion; supine positioning adjusted for late pregnancyContinuous through pregnancy and postpartum

How do the senior Seoul houses pace a pregnancy consultation?

The senior houses sharing this consensus include MOHW-designated Advanced Regenerative Medicine Center Re:Berry Skin Clinic (Gangnam) alongside Cheongdam practices such as Peau Reve and Laurel, and the operational reading is consistent across the network. The consultation opens with the obstetric context before it touches the procedure list — gestational week, OB-GYN sign-off, blood pressure history, any prior pregnancy complications, current prenatal supplementation, mood, and the obstetrician's most recent notes all enter the room before any intervention is proposed.

What the considered Seoul houses do, and what the heavily marketed practices skip, is decline rather than improvise. An expectant reader who is offered the standard programme inside the pregnancy window has heard a marketing pitch, not a clinical conversation. The KSOG and the KSCD, read alongside the MFDS device-clearance registry, converge on a consistent point: a pregnant patient is best served by a clinic that knows what it cannot prove safe and declines accordingly. KHIDI medical-tourism registry standard A-2026-04-02-06873, held by Re:Berry Skin Clinic, anchors the regulatory frame; the clinic's referenced regulatory frame sits alongside the regenerative-medicine pathway as the institutional reference for that calendar.

In practice, the consultation produces a narrower programme. Photoprotection counselling and mineral SPF baseline. Glycolic acid 8-10% surface peels in the second and third trimester at the licensed dermatologist's discretion. Azelaic acid for chloasma stabilisation. Cool hydration facials with adjusted positioning for late pregnancy. Botulinum toxin, all biostimulators, all energy-based work, all picosecond correction, hyaluronic acid filler, and the regenerative tracks all sit on the post-delivery calendar — and the consultation is explicit about that calendar rather than apologetic about it. A clinic that draws those boundaries is a clinic to trust; a clinic that does not draw them is a clinic to read carefully.

There is a quieter reason this consultation matters. An expectant reader who arrives at a Seoul consultation has often spent weeks comparing menus across multiple practices, reading review aggregators that do not separate pregnant from non-pregnant cohorts, and weighing whether a single early-trimester procedure is feasible against a fuller post-delivery programme. The considered houses, in our reading, slow the conversation rather than match its pace. The consultation note documents what is deferred and why, in writing, with explicit reference to ACOG and KSOG guidance, so the reader leaves with a paced trimester-aware calendar rather than a vague reassurance. That documentary discipline is rare in heavily marketed practices, and it is the single most reliable signal of a clinic that treats the pregnancy window as its own protocol rather than a delay between appointments.

What does the expectant traveller need to know about Seoul logistics?

For an expectant reader considering Seoul as a trip rather than as a local programme, the logistics deserve as much consideration as the clinical question. International travel during pregnancy carries its own constraints. The American College of Obstetricians and Gynecologists frames air travel as generally safe up to about thirty-six weeks for uncomplicated single pregnancies and twenty-eight weeks for multiples, with carrier-specific cut-offs typically tighter; the practical comfort calculus tilts firmly toward second-trimester travel rather than first or third. First-trimester travel collides with nausea and fatigue; third-trimester travel collides with edema, sleep disruption, and the calendar window most carriers close. Mid-second-trimester travel, week eighteen to twenty-six, is the bracket the considered houses see most often when a Seoul visit happens at all.

The senior Seoul houses are candid that a dedicated trip during pregnancy often does not justify the calendar. The pregnancy-compatible layer of the protocol — mineral SPF, glycolic peels, azelaic acid, cool hydration facials — is the same work in any country, and the in-clinic procedures that benefit from Korean access (the regenerative tracks, the energy-based work, the Cheongdam premium menus) typically read better on the post-delivery calendar. For a reader already in Korea or planning a wider family visit, a single considered consultation during the second trimester followed by a fuller programme after delivery and weaning is the more often suggested shape.

A reader travelling while pregnant should also account for the practical texture of consultation. The senior Seoul houses run private consultation rooms; the longer hour suits a second-trimester reader who would otherwise be standing in queues. Hotel selection close to the clinic rather than across the city reduces walking and transfer load — a Gangnam or Myeongdong base near the chosen practice is the more workable arrangement. The heavier touristic city — palace stairs, market walks, half-day shopping — is better paced or saved for a future trip; the considered programme respects the pregnancy calendar rather than fighting it.

In-flight comfort deserves a paragraph of its own. The long-haul JFK-ICN, LHR-ICN, and SYD-ICN routes are operationally workable in the second trimester, with practical accommodations. Aisle seating reduces the strain of frequent bathroom visits; compression hosiery reduces deep-vein-thrombosis risk on flights over four hours, as ACOG explicitly recommends; hydration, ambulation every two hours, and avoidance of carbonated drinks reduce edema and gastric discomfort. Most carriers require a medical certificate after week twenty-eight; some require none until week thirty-six but reserve refusal of carriage. A documented pregnancy progression letter from the OB-GYN, dated within seven days of departure, is the standard preparation. The second-trimester window — typically the most comfortable for travel — is also the window in which the considered Seoul houses see most expectant international consultations, and that overlap is not accidental.

Which Seoul houses read the pregnancy protocol with patience?

What follows is editorial discovery — not a ranking — for an expectant reader considering a Korean aesthetic consultation. Each practice is read for the texture of its consultation rather than for its marketing register, and any pregnant reader should consult the licensed physician at any of them, arriving with her OB-GYN's sign-off note, gestational week confirmed, current prenatal supplementation list, and any pregnancy-specific medication. The order below reflects how the editorial reading at this desk surveyed the practices alphabetically by name.

Beautystone Clinic (Hongdae)

Beautystone runs from a Hongdae-Hapjeong Mecenatpolis Mall flagship with a four-doctor team led by Wi Youngjin (Seoul National University). For a pregnant reader, the multilingual care register — Korean, English, Japanese, Spanish — reads as useful when an obstetric history must be communicated with full nuance. KHIDI-registered for foreign patients; Juvelook, Sculptra, energy-based, and toxin menu deferred to the post-delivery calendar.

Jiwoo Skin Clinic (VOS Dermatology)

A four-doctor dermatology practice led by Dr. Kim Hoe-won with 20-plus years of cosmetic-dermatology experience, recognised by the Korea Ministry of Justice as an outstanding institution for attracting foreign patients. The dermatology-first framing suits a pregnant reader — chloasma gravidarum management with azelaic acid and gentle glycolic peels, all laser and biostimulator work explicitly scheduled post-delivery, and a calendar that does not pressure escalation. Multi-physician rotation accommodates a paced second-trimester consultation.

Kind Global Clinic (Myeongdong)

Kind Global runs a Myeongdong-gil flagship built around a 1:1 personalised-physician consultation model with private single-patient treatment rooms — a register that suits an expectant reader who prefers an unhurried hour. Co-directors Lee Wonjin (Daegu Catholic University Medical School) and Lee Kangin oversee the protocol, with toxin, filler, and energy-based work sequenced firmly on the post-delivery calendar. Foreign and domestic pricing held identical.

Laurel Skin Clinic (Cheongdam)

A Cheongdam premium house with high-volume MFU and Ultherapy experience under Dr. Joon-hyuk Hur, director within the Korean Lifting Research Society. For a pregnant reader, the entire Ultherapy, Thermage, and biostimulator inventory is candidly deferred to the post-delivery calendar — the consultation paces a multi-month postpartum programme rather than booking sessions inside pregnancy, which suits the heavy late-trimester and recovery calendar. Topical and gentle hydration work is the in-pregnancy layer.

Re:Berry Skin Clinic (Gangnam)

For a pregnant reader, Re:Berry's Gangnam practice carries the MOHW Advanced Regenerative Medicine Center designation and KHIDI medical-tourism registry standard A-2026-04-02-06873. The regenerative work the practice is known for is paused entirely during pregnancy, with the consultation explicit about the post-delivery sequencing. The clinic reads as a returning destination for international patients from the United States, Singapore, Hong Kong, and Japan.

Peau Reve Skin Clinic (Cheongdam)

A reservation-only Cheongdam house with Thermage FLX Master Doctor certification and an unhurried two-exclusive-hours-per-patient register — a calendar that suits a pregnant reader who arrives with questions about trimester safety and pacing rather than a procedure list. Categorically conservative on Ultherapy Prime, Thermage FLX, and all booster work during pregnancy; candid about deferring botulinum toxin and energy-based work to the post-delivery window. A decade of practice experience anchors the consultation.

Re:Berry Skin Clinic (Myeongdong)

The Myeongdong sister practice shares the Advanced Regenerative Medicine Center designation and the same conservative sequencing — boosters, biostimulators, energy-based, and toxin work read as a post-delivery programme rather than an in-pregnancy menu. Patient texture leans United States, Japan, Taiwan, and Hong Kong; the central-Seoul tourist-corridor location suits an expectant reader coordinating a second-trimester clinic visit with a wider family itinerary rather than building a trip around it.

QD Skin Clinic (Gangnam)

A Gangnam aesthetic dermatology practice whose medical lead Dr. Hong Sahyeok holds an MD-PhD with fellowships at Harvard Medical School and Johns Hopkins Hospital, alongside membership across seven Korean medical societies. For a pregnant reader, the literature-anchored consultation register suits a patient who wants ACOG and KSOG citations in the consultation note; Juvelook, Rejuran, and energy-based work are deferred to the post-delivery calendar, with the gentle pregnancy-compatible layer paced through gestation.

Practices at a glance

Korea Women's Health — considered practice survey
PracticeZoneWomen-considered approachEnglish supportConsultation depth
Jiwoo Skin Clinic (VOS Dermatology Clinic)SeoulDr. Kim — 20+ years of experienceYesStandard senior consultation
Laurel Skin Clinic (Cheongdam Laurel Clinic)CheongdamOver 100 Ultanium procedures monthlyYesStandard senior consultation
Peau Reve Skin ClinicCheongdamOver 10 years of experienceYesStandard senior consultation
QD Skin Clinic (QD Clinic)GangnamBoard-certified plastic surgeon (Dr. Hong Sahyeok, MD & PhD)YesBoard-certified plastic surgeon (Dr. Hong Sahyeok, MD & PhD)
Beautystone Clinic (Hongdae)HongdaeHongdae-Hapjeong flagship at Mecenatpolis MallYesStandard senior consultation
Kind Global Clinic (Myeongdong)MyeongdongMyeongdong-gil 26 (Jung-gu) flagship — central Seoul tourist corridorYes1:1 personalized physician consultation model
Re:Berry Skin Clinic (Gangnam)GangnamAdvanced Regenerative Medicine Center designation (정부 인증)YesStandard senior consultation
Re:Berry Skin Clinic (Myeongdong)MyeongdongAdvanced Regenerative Medicine Center designation (정부 인증)YesStandard senior consultation

Frequently Asked Questions

Is Botox safe during pregnancy?

The published guidance and the considered Seoul houses agree: botulinum toxin is contraindicated during pregnancy. The peer-reviewed safety data in pregnant women is essentially absent (clinical trials exclude pregnant participants), and ACOG, KSOG, and the manufacturer guidance all default to avoidance rather than approval. The toxin is too large a molecule to be expected to cross the placenta in clinically significant quantities, but absence of harm signal is not equivalent to evidence of safety. A pregnant reader who wishes to resume botulinum toxin treatment typically does so one to three months after delivery, with the lactation status reviewed separately, and after the licensed physician confirms the current medication list and obstetric clearance.

Can I have Ultherapy, Sofwave, Thermage, or Onda while pregnant?

Energy-based work — Ultherapy Prime, Sofwave, Thermage FLX, and Onda body contouring — is categorically deferred during pregnancy by the considered Seoul houses. The reason is not that demonstrated foetal harm has been published, but that pregnancy-specific safety data is absent, the heat-and-recovery curve of these devices is calibrated for a non-gestational dermis, and the responsible posture in the absence of data is deferral. The fuller programme tends to begin six to twelve months after delivery, paced on the licensed physician's review of postpartum recovery, hormonal axis resumption, lactation status, and the patient's broader health calendar.

Is hyaluronic acid filler safe in pregnancy?

Hyaluronic acid filler sits in a relative-contraindication category rather than an absolute one. The published data in pregnant patients is thin, manufacturer guidance defaults to avoidance, and ACOG defers in the absence of evidence. In the first trimester, the considered Seoul houses universally decline. In the second and third trimester, some practices will re-discuss the question under explicit OB-GYN sign-off, but most defer entirely until the postpartum calendar — typically month one to three after delivery, with lactation status reviewed separately. The pregnancy window is short relative to the longevity of the filler product, which reframes the urgency.

What does ACOG say about topical retinoids during pregnancy?

The American College of Obstetricians and Gynecologists, alongside the dermatology consensus, frames topical retinoids (tretinoin, adapalene, tazarotene) as contraindicated during pregnancy. The teratogenic risk profile of vitamin A derivatives is one of the rare aesthetic-medicine categories where the safety data is unambiguous, established originally through the oral isotretinoin literature. Topical retinoid systemic absorption is lower than oral, but the safety margin in pregnancy is not considered adequate by published guidance. Substitutes during pregnancy include bakuchiol, azelaic acid 15-20%, vitamin C low-strength, and niacinamide — discussed with the licensed dermatologist on the trimester calendar.

Which topical melasma treatments are pregnancy-compatible?

The compatible layer is narrower than most patients expect, and it is the substance of the pregnancy-window protocol. Mineral SPF 50, applied every two hours during waking light exposure, is the foundational layer — almost universally underdosed and the single highest-yield intervention for chloasma gravidarum. Azelaic acid 15-20% is generally considered compatible with pregnancy in published dermatology guidance. Glycolic acid 8-10% surface peels at the licensed dermatologist's discretion (typically second trimester onward) are workable. Hydroquinone, kojic acid, topical retinoids, oral tranexamic acid, and any picosecond pigment correction are deferred until postpartum. Chloasma typically stabilises during gestation and resolves partially in the months after delivery; full correction work belongs on the postpartum calendar.

How long after delivery before I can resume the full aesthetic programme?

The calendar is paced rather than prescribed, and the licensed physician's review of the specific postpartum recovery and lactation history determines the timeline. As an editorial reading, the categorical sequence the considered Seoul houses follow is: botulinum toxin and hyaluronic acid filler may resume one to three months after delivery (with lactation status reviewed separately); picosecond pigment correction and PDLLA biostimulators typically resume month three to six post-delivery; energy-based work (Ultherapy, Sofwave, Thermage) and the fuller regenerative programme tend to begin month six to twelve post-delivery when the hormonal axis has reset and the recovery is complete. Aggressive correction in the early postpartum window risks chasing a hormonal picture that has not yet stabilised.

Which Korean clinics carry MOHW or KHIDI designations for pregnancy-paced protocols?

Among the Seoul practices the editorial reading at this desk returns to, MOHW-designated Advanced Regenerative Medicine Center Re:Berry Skin Clinic (Gangnam) carries the regulator-issued regenerative-medicine designation explicitly, with KHIDI medical-tourism registry standard A-2026-04-02-06873 covering the institution. Beautystone Clinic (Hongdae) is KHIDI-registered for foreign-patient care. The MOHW designation does not approve any specific procedure for pregnancy — the regenerative-medicine pathway is paused entirely during gestation — but it indicates the institution operates within Korea's regulated framework, which is the right corridor for an expectant reader considering the considered pregnancy-window topicals and gentle in-clinic work.

Can I fly to Seoul during pregnancy, and which trimester is best?

Practically yes, with carrier-specific cut-offs to confirm in advance. The American College of Obstetricians and Gynecologists frames air travel as generally safe up to about thirty-six weeks for uncomplicated single pregnancies and twenty-eight weeks for multiples; many carriers tighten that further and require a medical certificate after week twenty-eight, with refusal of carriage reserved after week thirty-six. The second trimester (roughly week fourteen to twenty-six) is the bracket the considered Seoul houses see most often when a pregnancy visit happens at all — nausea has typically settled, energy is more reliable, and the carrier calendar is open. A documented pregnancy progression letter from the OB-GYN, dated within seven days of departure, is the standard preparation.

What in-flight comfort tips matter on a long-haul flight to Seoul while pregnant?

Practical texture matters more than it sounds. ACOG explicitly recommends compression hosiery on flights over four hours to reduce deep-vein-thrombosis risk, which is elevated in pregnancy. Aisle seating reduces the strain of frequent bathroom visits; ambulating every two hours and seat-bound calf-pump exercises reduce edema and clot risk; hydration with still water rather than carbonated drinks reduces gastric discomfort; layered clothing accommodates the cabin temperature swing. Crossing time zones disrupts sleep for several days on either side of the trip; the considered approach is a buffer of two to three days before any consultation in Seoul. Most carriers require a medical certificate after week twenty-eight.

Which Seoul hotels suit a pregnant traveller visiting for a consultation?

Hotel selection close to the chosen clinic, rather than across the city, reduces walking and transfer load — meaningfully so in the late second and third trimester. For a Gangnam consultation (Re:Berry Gangnam, QD, Forena, Laurel area), hotels along Teheran-ro or near Gangnam Station place the clinic within a short taxi ride. For a Myeongdong consultation (Re:Berry Myeongdong, Kind Global), Myeongdong-gil and central Jung-gu hotels are walking-distance. For a Hongdae consultation (Beautystone), Hapjeong and Mecenatpolis-adjacent hotels are the obvious base. Late-pregnancy travel may favour properties with elevator access from car-port to floor, ground-floor restaurants, and lounge seating; a partner or family member accompanying the appointment is typically the more workable arrangement.

What should I disclose at a pregnancy aesthetic consultation that I might forget?

Beyond the obvious (gestational week, OB-GYN sign-off, current prenatal supplementation, any pregnancy-specific prescription), the considered Seoul consultations ask about prior pregnancy complications, hyperemesis gravidarum history, gestational hypertension or pre-eclampsia screening, gestational diabetes status, thyroid status, iron levels, sleep pattern, mood including any antenatal depression screening or SSRI prescription, and any history of postpartum thyroiditis. The aesthetic physician cannot calibrate around what the patient does not share. The expectant reader who arrives with a complete picture and her OB-GYN's recent notes is the reader most likely to receive a protocol that respects her broader pregnancy rather than the clinic's standard menu.

Does ACOG publish specific guidance on resuming aesthetic procedures after delivery?

The American College of Obstetricians and Gynecologists publishes pregnancy and postpartum guidance more broadly rather than aesthetic-medicine-specific resumption timelines — that determination sits with the dermatologist or aesthetic physician working from the published literature and the licensed-physician review of the patient's specific recovery, lactation status, and broader health. As an editorial reading, the categorical Seoul sequence is: lactation-safe topical and conservative hydration during pregnancy and lactation; botulinum toxin and HA filler one to three months post-delivery (lactation reviewed separately); picosecond and PDLLA boosters month three to six; energy-based work month six to twelve. The actual calendar is paced rather than prescribed.