From the Research
Striae albicantes, commonly known as stretch marks, are a skin condition characterized by linear bands on the skin with an atrophic appearance, resulting from rapid skin stretching and broken collagen and elastin fibers. According to the most recent and highest quality study, treatment options for stretch marks are varied, but energy-based devices, such as lasers, and topical treatments, like retinoid creams, are the most commonly reported modalities 1. These treatments aim to stimulate collagen production, improve skin texture, and reduce the appearance of stretch marks. However, complete removal of stretch marks is not possible, and improvement is the realistic goal.
Some key points to consider:
- Stretch marks can cause cosmetic morbidity and psychological distress, particularly in women and individuals in professions where physical appearance is important 2.
- The prevalence of stretch marks ranges from 50% to 90%, with women being more commonly affected than men 3.
- Topical preparations, such as tretinoin and glycolic acid, and laser treatments have been used to manage stretch marks, but no single treatment has emerged as fully effective 2, 3.
- Energy-based devices, like CO2 lasers, and injection-based devices, such as platelet-rich plasma injections, have shown promising results in improving the appearance of stretch marks 1.
- For prevention, regular application of moisturizers containing ingredients like cocoa butter, shea butter, or vitamin E may help maintain skin elasticity, but evidence for their effectiveness is limited 4.
In terms of treatment outcomes, a systematic review of 151 studies on stretch marks found that energy-based devices were the most reported modality, followed by topicals and combinations 1. The review also highlighted that improved outcomes in stretch marks management may be achieved with additional research on factors that predict treatment response.
Overall, while various treatment options are available for stretch marks, it is essential to manage patient expectations and emphasize that complete removal is not possible, but improvement can be achieved with the right treatment approach.