Should I treat stretch marks before or after weight loss?

Question

I currently use moisturiser, retinol and hyaluronic acid to treat my stretch marks, however I am unsure if treating them whilst I haven’t lost weight is ineffective. I want to experiment with dermarolling for my stretch marks however I don’t know whether to start this before or after weight loss. Also could you please let me know whether I should just continue the moisturising portion of my regimen and stop the retinol and hyaluronic acid until i’ve lost weight.

Anna Petropoulos, MD, FRCS · Answer

Hello and thank you for your question! You can start treating stretch marks now—you don’t need to wait until after weight loss. Early treatment can actually help improve the appearance of newer stretch marks and support skin elasticity as your body changes.

Our recommendations:

Moisturizer: Definitely keep using it—it helps with hydration and skin barrier support.

Retinol: You can continue this, but only if your skin isn’t irritated. Retinol can help fade stretch marks over time, regardless of weight.

Hyaluronic acid: Safe to keep using—it hydrates and can complement retinol.

Dermarolling: You can start now, but space sessions out (every 1–2 weeks with a 0.5 mm roller), and avoid it on irritated or sensitive skin.

In short: no need to stop your routine or delay treatment. Just be gentle and consistent!

Best of luck! 
Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS 
Center for Classic Beauty
Boston & Danvers, MA

Ajaya Kashyap, MD · Answer

Thank you for your query. Stable stretch marks, which are not red or inflamed, can be treated anytime, before or after losing weight, the sooner the better. Moisturising treatments are helpful in preventing more stretch marks when one is gaining  weight. I would recommend a consultation with an expert in the field, and starting treatment soon. All the best!

Should I treat stretch marks before or after weight loss?

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Should I treat stretch marks before or after weight loss?

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Everything you need to know about Derma Roller

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