How can I reduce the appearance of stretch marks?
Answers (2)
It is helpful that the question is referring to how to "reduce the appearance of stretch marks" rather than how to get rid of them. Unfortunately, there is no technology or product that can erase stretch marks. However, non-ablative (no downtime)lasers offer an excellent treatment modality to minimize the appearance and mildly improve the texture of the skin surrounding the stretch marks. Oftentimes, patients present with newer, red stretch marks. Current research suggests that early treatment with lasers may actually result in improved outcomes by using pulsed dye lasers to target the inflammatory reaction which will reduce the damage to the skin. This type of laser can successfully eliminate or fade the red based pigment. Other types of stretch marks present with a brownish color. These are also effectively treated with Q-switched Yag lasers and is safe for all skin types. For those stretch marks that are older and are light in color (hypopigmented) - these can be quite a challenge but can be treated with an Excimer laser which encourages melanocytes (pigmented cells)to migrate to the area that has permanently lost pigmentation. Unfortunately, this type of treatment results in a temporary outcome and maintenance treatments are needed to maintain pigmentation. We currently use an Erbium Glass laser to stimulate/remodel collagen to the tissue around the stretch marks which in turn helps improve the appearance and texture. When trying to find a practitioner to treat stretch marks, be certain that you are provided with realistic goals and outcomes. Our patients appreciate the honest feedback.
Stretch marks can be divided into two groups: red and white.
- The red stretch marks appear first and can be converted to the less noticeable white stretch marks with various laser treatments (designed to reduce the red appearance).
- The white stretch marks are, unfortunately, very difficult to treat. Individual practitioners have reported varying results with topical lasers, Retin-A, and other anti-oxidants. Unfortunately, while these may improve the appearance of these deep skin tears, they cannot erase them.




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