Which procedure is best for treating purple stretch marks after pregnancy? (photo)

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

It's great that you're planning ahead for postpartum care. Purple stretch marks, also known as striae gravidarum, are a common concern during and after pregnancy. The good news is that there are several effective treatments available to help reduce their appearance once you have had your baby. Here are some of the most commonly recommended options:

1. **Topical Treatments:**
- **Retinoids (e.g., Tretinoin):** These are Vitamin A derivatives that can help improve the appearance of stretch marks by increasing collagen production. Note that retinoids should not be used during pregnancy or while breastfeeding, so this would be an option for after you have finished breastfeeding.
- **Hyaluronic Acid:** This can help retain moisture and improve skin elasticity. It is safe to use during breastfeeding.
- **Centella Asiatica:** This herbal extract is known to help with wound healing and collagen production. It is often found in creams and lotions targeted at stretch marks.

2. **Laser Therapy:**
- **Fractional Laser Treatment:** This type of laser creates micro-injuries in the skin, which stimulates collagen production and skin remodeling. It is effective in reducing the appearance of stretch marks.
- **Pulsed Dye Laser Therapy:** This laser targets blood vessels in the stretch marks, which can help reduce their redness and improve their appearance.

3. **Microneedling:**
- **Dermarolling or Microneedling:** This involves using a device with tiny needles to create micro-injuries in the skin, promoting collagen and elastin production. It can be effective in reducing the appearance of stretch marks.

4. **Chemical Peels:**
- **Glycolic Acid Peels:** These can help exfoliate the skin and promote collagen production. They are generally mild and can be used to treat stretch marks over time.

5. **Radiofrequency Therapy:**
- **Radiofrequency Microneedling:** This combines microneedling with radiofrequency energy to stimulate deeper layers of the skin, promoting collagen and elastin production.

6. **Platelet-Rich Plasma (PRP) Therapy:**
- This involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting it back into the stretch marks. The growth factors in PRP can help with skin healing and collagen production.

Postpartum Care Considerations:
- **Timing:** Many treatments are most effective when started soon after delivery, but it is essential to wait until your body has recovered from childbirth and, if applicable, until you have finished breastfeeding.
- **Consultation:** Always consult with a dermatologist or a healthcare provider to discuss which treatment is appropriate for your skin type and condition, especially considering any potential interactions with breastfeeding.

Preventive Measures:
While you are still pregnant, you can take some preventive steps to minimize the severity of stretch marks:
- **Stay Hydrated:** Maintain good hydration to keep your skin supple.
- **Use Moisturizers:** Regularly apply creams or oils that contain ingredients like cocoa butter, shea butter, and hyaluronic acid to keep your skin moisturized.
- **Balanced Diet:** Ensure a diet rich in vitamins and minerals that support skin health, such as Vitamin C, Vitamin E, and zinc.

Planning ahead is wise, and with the variety of treatments available, you can find an effective strategy to address your stretch marks postpartum. Always prioritize safety and consult with healthcare professionals before starting any new treatment.

The appearance of stretch marks can be improved a few different ways. Morpheus8 treatments combine RF technology with microneedling to improve overall skin tone and texture. Three sessions performed in the the office are recommended for optimal results. Sometimes laser treatments can also improve the appearance of stretch marks. Keeping skin supple and protecting it from the sun are also encouraged.