How to get rid of stretch marks

28 February 2014 Dr Henri Knafo

Stretch marks are very common

Stretch marks are very common

Understanding stretch marks.

Stretch marks also called Strie distensae are a result of a rapid stretching of the skin. It occurs in response to a weight or muscle mass change (like in pregnancy). The thin bands of reddened skin becomes white, smooth, shiny and depressed at a later stage.

Most often Stretch marks develop in areas of dermal damage produced by stretching like the breasts, hips, thighs, buttocks, abdomen, and flank. Stretch marks are not an illness but many women are upset by the appearance of suchmarks during pregnancy. There is a high possibility (probably over 50%) of any woman developing stretch marks by the end of her pregnancy.

Getting rid of stretch marks can be very challenging. This article reviews the different treatment available in order for you to make the best decision. Get rid of stretch marks today!

Half of the pregnant women have stretch marks

Half of the pregnant women have stretch marks

1. What Cream should I use for stretch marks ?

If you are Pregnant:

Anti-stretch mark cream containing hydroxyprolisilane-C, rosehip oil, Centella asiatica triterpenes and vitamin E works. The use of the anti-stretch mark product is proved to be effective in reducing severity of the striae during pregnancy, prevents the appearance of new striae and halts progression of those already present. In women who had no striae at baseline, use of the anti-stretch mark cream was more effective than placebo in preventing new stretch marks(1).

 

Olive oil does not significantly reduce the incidence and the severity of stretch mark and it could not be recommended for stretch mark prevention (2).

Cocoa butter does not appear to reduce stretch marks (3).

If you are not pregnant:

Use a cream with tretinoin. Topical application of tretinoin significantly improves the clinical appearance of early, active stretch marks in several studies (4) . However, it can take up to a 3 months to see any concrete results (5).

 

Apply a proven cream

Apply a proven cream

2. Massage

Studies demonstrate that massage can help reduce the appearance of stretch marks. It was found that a 15-minute massage applied with almond oil during pregnancy reduced the development of striae gravidarum, but using bitter almond oil had no effect on this in itself (6). However you can massage the affected area with any good occlusive moisturizer cream for better results.

 

3. Occlusive Skin Moisturizers

Use an occlusive moisturizer

Use an occlusive moisturizer

 

Occlusive skin moisturizers are moisturizers that prevents water from evaporating in order to increase the water content in the skin. Moisturizing the area with a adequate occlusive moisturizer has been proven to be a simple and effective way to improve the appearance of stretch marks (7).

 

 

 

 

 

 

Intense pulse light for stretch marks.

Intense pulse light for stretch marks.

 4. Intense pulsed light (IPL)

There is some evidence that IPL works for treating stretch marks. A prospective study was carried out in 15 women, all of them having late stage striae distensae of the abdomen. Five sessions of IPL were performed once every two weeks. The studied demonstrated an improvement of stretch marks after IPL (8).

 

 

5. Laser

Laser for stretch marks

Laser for stretch marks

Current laser technology permits successful treatment of scars and stretch marks. It is imperative to appropriately classify the type of scars and striae distensae present to determine which laser is likely to be effective (9). The 585-nm PDL (pulse dye laser) is best used to treat hypertrophic scars, keloids, and striae. The use of lasers alone or in combination with other therapeutic modalities can provide a safe and effective reduction in the appearance of both red and white striae distensae. Typically, only 1-2 treatment sessions are necessary to obtain a noticeable result. However you might need up to four treatment sessions. Ablative and nonablative carbon dioxide lasers have also been used in the treatment of striae. Both treatments with the nonablative fractional laser and ablative carbon dioxide fractional laser showed a significant clinical and histopathologic improvement of striae distensae (10). Fractional Laser Therapy is estimated to cost at around $1500 to $2500 depending on your case. If you are taking any retinoid products please mention it prior to being treated since this might be a contraindication.

 

 

Glycolic acid for stretch marks

Glycolic acid for stretch marks

 

6. Glycolic acid

Peeling can give smoother skin texture, decreased wrinkling and striae, and improve pigmentary abnormalities. 20% glycolic acid in combination with 0.05% tretinoin has been proven to improve stretch marks (11).

 

 

7. Plastic surgery

Surgery for stretch marks

Surgery for stretch marks

Depending on the location of the stretch marks, your plastic surgeon might offer you an abdominoplasty (aka tummy tuck). However this procedure is expensive (it might cost you from 2000$ to 20 000$). It also have possible complications including DVT (0.04%) and pulmonary embolus (0.02%) among a few (12).

 

 

 

 

 

References

(1) Int J Cosmet Sci. 2013 Jun;35(3):233-7. doi: 10.1111/ics.12029. Epub 2013 Jan 15.
Use of a specific anti-stretch mark cream for preventing or reducing the severity of striae gravidarum. Randomized, double-blind, controlled trial.
García Hernández JÁ1, Madera González D, Padilla Castillo M, Figueras Falcón T.
(2) Complement Ther Med. 2012 Oct;20(5):263-6. doi: 10.1016/j.ctim.2012.05.001. Epub 2012 Jun 12.
The effect of olive oil on prevention of striae gravidarum: a randomized controlled clinical trial.
Soltanipoor F1, Delaram M, Taavoni S, Haghani H.
(3) BJOG. 2008 Aug;115(9):1138-42. doi: 10.1111/j.1471-0528.2008.01796.x.
Cocoa butter lotion for prevention of striae gravidarum: a double-blind, randomised and placebo-controlled trial.
Osman H1, Usta IM, Rubeiz N, Abu-Rustum R, Charara I, Nassar AH.
(4) Arch Dermatol. 1996 May;132(5):519-26.
Topical tretinoin (retinoic acid) improves early stretch marks.
Kang S1, Kim KJ, Griffiths CE, Wong TY, Talwar HS, Fisher GJ, Gordon D, Hamilton TA, Ellis CN, Voorhees JJ.
(5) Adv Ther. 2001 Jul-Aug;18(4):181-6.
Topical tretinoin 0.1% for pregnancy-related abdominal striae: an open-label, multicenter, prospective study.
Rangel O1, Arias I, García E, Lopez-Padilla S.
(6) J Clin Nurs. 2012 Jun;21(11-12):1570-6. doi: 10.1111/j.1365-2702.2012.04087.x.
The effect of bitter almond oil and massaging on striae gravidarum in primiparaous women.
(7) Int J Cosmet Sci. 2012 Dec;34(6):519-24. doi: 10.1111/j.1468-2494.2012.00751.x. Epub 2012 Sep 21.
A review of the effects of moisturizers on the appearance of scars and striae.
Rawlings AV1, Bielfeldt S, Lombard KJ.
(8) Dermatol Surg. 2002 Dec;28(12):1124-30.
Intense pulsed light in the treatment of striae distensae.
Hernández-Pérez E1, Colombo-Charrier E, Valencia-Ibiett E.
(9) McDaniel DH, Ash K, Zukowski M. Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg. Apr 1996;22(4):332-7.
(10) Yang YJ, Lee GY. Treatment of Striae Distensae with Nonablative Fractional Laser versus Ablative CO(2) Fractional Laser: A Randomized Controlled Trial. Ann Dermatol. Nov 2011;23(4):481-9.
(11) Dermatol Surg. 1998 Aug;24(8):849-56.
Comparison of topical therapy for striae alba (20% glycolic acid/0.05% tretinoin versus 20% glycolic acid/10% L-ascorbic acid).
Ash K1, Lord J, Zukowski M, McDaniel DH.
(12) Simon S, Thaller S, Nathan N. Abdominoplasty combined with additional surgery: a safety issue. Aesthetic Surgery Journal. Jul-Aug 2006;26:413-6.