From 2007 to 2010, Akinshina was married to businessman Dmitry Litvinov, with whom she has a son, Filip Litvinov, born 2 June 2009. On 15 January 2013, Akinshina gave birth to her second son Konstantin, with the film producer Archil Gelovani. On 29 January 2017, she gave birth to a daughter from Gelovani.