Are my stretch marks too old/dark for treatment? (photo)

Question

Im a 27 year old medium dark skinned African American. I have dark purple stretch marks in 5x5 in sections on my obliques. Would ematrix or vbeam be effective in fading these stretch marks? They’re older but in my research I’ve seen conflicting information on which treatment is most effective for my skin tone. Think Michael B Jordan with browner marks not very deep. The consult fees are very prohibitive in my city but some information before I seek one out would help. Only looking to fade

Anna Chacon, MD, FAAD · Answer

Hello, and thank you for reaching out with your question about treating older, dark purple stretch marks. It's understandable to seek information before committing to consultations, especially when they can be costly. Here’s some guidance on the options you’re considering:

Understanding Stretch Marks:

Stretch marks, or striae, are common and occur when the skin rapidly stretches, causing the collagen and elastin in the dermis to rupture. Over time, they can change color from red or purple to a silvery white.
Treatment Options:

eMatrix (Sublative Rejuvenation): This treatment uses radiofrequency energy to stimulate collagen production and improve skin texture. It's known to be effective on various skin types and tones, including medium to dark skin, and may help in reducing the appearance of stretch marks.
VBeam (Pulsed Dye Laser): Primarily used for red or vascular lesions, VBeam may have limited effectiveness on older, darker stretch marks, especially if they have already transitioned from red to purple or brown. It is typically more effective on newer, redder marks.
Considerations for Darker Skin Tones:

Risk of Hyperpigmentation: With any laser or energy-based treatment, there is a risk of post-inflammatory hyperpigmentation, especially in darker skin tones. It is essential to consult with a practitioner experienced in treating diverse skin types to minimize this risk.
Alternative Treatments: Microneedling and topical retinoids are alternative options that can help improve the appearance of stretch marks and are generally safe for darker skin tones. Microneedling can stimulate collagen production with minimal risk of pigmentation changes.
Recommendations:

Consultation: While consulting a professional is advisable, try to find clinics that offer free initial consultations or virtual consultations to discuss your concerns and treatment options.
Patch Test: Before committing to any treatment, ask about a patch test to see how your skin responds.
Managing Expectations:

Understand that while treatments can significantly improve the appearance of stretch marks, complete removal is unlikely. The goal is typically to make them less noticeable.
I hope this information helps guide your decision-making process. Seeking a provider who understands the nuances of treating darker skin tones will be crucial in achieving the best results. Best of luck with your treatment journey!

Are my stretch marks too old/dark for treatment? (photo)

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Are my stretch marks too old/dark for treatment? (photo)

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Everything you need to know about eMatrix

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