The Science Behind Stretch Marks: Why They Appear and How to Remove Them

Stretch marks, though peculiar, are simply the result of rapid changes in the skin’s elasticity, often occurring when the skin stretches or contracts faster than its natural rate. 

Understanding their origin is one thing, but finding effective ways to diminish their appearance is another matter entirely. Many individuals seek solutions to reduce the visibility of stretch marks. 

Fortunately, various treatments and remedies are available to address this concern, ranging from topical creams and oils to more advanced procedures like laser therapy or microneedling.

What Causes Stretch Marks?

The appearance of stretch marks, or striae, occurs when the skin undergoes rapid stretching or contraction, resulting in alterations to its structure and appearance. Cosmetic Doctor, Dr Dara Suite explains, “stretch marks are often perceived as something that only affects women, but anyone of any gender can get stretch marks”. 

Stretch marks are commonly caused by the following factors:

  • Pregnancy: Stretch marks frequently arise as the abdomen, hips, breasts, and thighs expand rapidly to accommodate the growing foetus during pregnancy.
  • Rapid Weight Changes: Significant fluctuations in body weight, whether through weight gain or loss, are commonly the cause of stretch marks. These changes often occur during puberty, periods of rapid growth, or drastic alterations in body size.
  • Genetics: Your genetic predisposition can play a huge part in determining whether you’re susceptible to stretch marks. Those with a family history of these marks may be more prone to developing them.
  • Hormonal Fluctuations: Variations in hormone levels, such as those experienced during puberty, pregnancy, or hormonal therapy, can impact the skin’s elasticity and contribute to the development of stretch marks.
  • Corticosteroid Usage: Prolonged or excessive use of corticosteroid medications, whether applied topically or taken orally, can weaken the skin’s collagen and elastin particles, increasing the likelihood of stretch mark forming.

How to Get Rid of Stretch Marks?

There are various stretch marks removal options that exist to reduce the appearance of stretch marks. These include:

  • Prescription Medications: Dermatologists may prescribe medications like tretinoin or corticosteroids to reduce stretch marks by promoting collagen production and reducing inflammation.
  • Laser Therapy: High-energy light beams target affected skin areas, stimulating collagen production and encouraging the growth of healthy skin cells, leading to stretch mark reduction.
  • Chemical Peels: Solutions containing acids exfoliate the skin, promoting cell turnover and the growth of new, healthier skin cells, which helps reduce the appearance of stretch marks.
  • Surgical Treatments: Procedures like abdominoplasty or laser surgery are considered for severe cases where other treatments have failed, aiming to remove excess skin and improve the appearance of stretch marks.
  • Platelet-Rich Plasma (PRP) Therapy: Extracted platelet-rich plasma is injected into the skin, stimulating collagen production and tissue regeneration to improve stretch mark appearance.
  • Microneedling: Fine needles create controlled micro-injuries, triggering the body’s healing response and stimulating collagen production to enhance the texture and tone of stretch-marked skin.
  • Topical Treatments: Creams, lotions, and oils containing ingredients such as retinoids, hyaluronic acid, and vitamin E can moisturise the skin and improve elasticity, gradually fading stretch marks over time.

What Are the Different Types of Stretch Marks?

You may have noticed that not all stretch marks look the same. This is because there are different types of stretch marks. Some of these are:

  • Red Stretch Marks (Striae Rubrae): These are stretch marks that appear red or purplish when they are new and the skin is stretching.
  • White Stretch Marks (Striae Albae): When stretch marks mature, they often turn silvery-white in colour due to less blood flow and more scar tissue.
  • Pregnancy Stretch Marks (Striae Gravidarum): These stretch marks occur during pregnancy, usually on the belly, hips, breasts, and thighs, because the skin stretches rapidly to accommodate the growing baby.
  • Weight Gain or Loss Stretch Marks (Striae Distensae): Stretch marks that develop when the body size changes quickly, like during puberty, rapid weight changes, or muscle-building activities.
  • Indented Stretch Marks (Striae Atrophicans): Sometimes, stretch marks can lead to the skin becoming indented or depressed, especially when they’re severe or have been there for a long time.
  • Blue Stretch Marks (Striae Caerulea): These are stretch marks that appear bluish in colour. They typically occur when the skin undergoes significant stretching, similar to red stretch marks, but the bluish hue may result from deeper blood vessels or skin pigmentation changes.

How Can I Prevent Stretch Marks?

There are a few measures you can take to avoid getting stretch marks, while some people might just be more prone to getting stretch marks than others:

  • Hydration: Stay hydrated to maintain skin elasticity and reduce the risk of stretch marks.
  • Balanced Diet: Eat a nutritious diet rich in vitamins and minerals to support skin health and resilience.
  • Weight Management: Avoid rapid weight changes to prevent strain on the skin and minimise the development of stretch marks.
  • Moisturise: Keep the skin well-moisturised, especially in areas where you’re highly likely to get stretch marks, to enhance elasticity and reduce the likelihood of stretch marks.
  • Sun Protection: Protect the skin from sun damage by applying sunscreen daily and limiting exposure to harmful UV rays.

Getting Rid of Stretch Marks

In the pursuit of reducing the appearance of stretch marks, it’s essential to approach the process with patience and realism. While various treatments and remedies exist to address stretch marks, it’s important to understand that complete elimination may not always be achievable. 

It’s also important to remember that each individual’s skin responds differently to treatments, so what works for one person may not yield the same results for another. Embrace your skin’s journey and celebrate its resilience, knowing that you’re taking proactive steps to care for it.