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Stretch marks, or striae, are a common skin condition characterised by long, narrow streaks or lines that appear on the skin. They often develop when the skin stretches or shrinks too quickly, leading to the tearing of the dermis. Stretch marks are most commonly seen on areas such as the abdomen, thighs, hips, and breasts, especially after pregnancy, rapid growth, or significant weight changes. While they are harmless, they can cause concern for those looking to improve the appearance of their skin. Treatment focuses on minimizing their appearance with laser therapy and micro-needling to promote collagen production and improve skin texture.

The Science Behind It

Stretch marks form when the skin is stretched beyond its capacity, causing the middle layer (dermis) to tear and resulting in red, purple, or white streaks on the surface. Over time, these marks may fade but rarely disappear completely. The loss of collagen and elastin fibers during this rapid stretching or shrinking process disrupts the skin’s structure, leading to visible scars. Early intervention with collagen-boosting treatments can help improve the appearance of stretch marks and encourage skin healing.

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What are the best lasers for this condtion

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

While each treatment offers its own benefits, the most effective plan depends on your skin type and specific concerns. A consultation with our dermatology team at Scars & Lasers ensures a tailored approach that considers your overall skin health, treatment goals, and any potential risks.

Potential Treatment Protocols

Treatment Type
Number of Sessions
Procedure Time
Recovery
2 - 5 Sessions
10-30 Minutes
3 - 5 Days
2 - 5 Sessions
10 - 30 Minutes
2 - 4 Days
2-5 Sessions
10-30 Minutes
3 - 5 Days
FAQ

Frequently Asked Questions

Can stretch marks be completely removed?

While treatments can significantly improve their appearance, stretch marks cannot be completely removed. They can, however, become much less noticeable with the right procedures.

Do stretch marks fade on their own over time?

Yes, stretch marks often fade from red or purple to white or silver over time. However, treatments can expedite and enhance this process.

What are the best treatments for stretch marks?

Effective treatments include laser therapy, micro-needling, and topical retinoids. The choice depends on the type, age, and severity of the stretch marks.

How do laser treatments work for stretch marks?

Laser treatments use light energy to stimulate collagen and elastin production, improving skin texture and reducing the visibility of stretch marks.

What is the difference between old (white) and new (red/purple) stretch marks, and do they require different treatments?

New stretch marks are red or purple due to blood vessels being visible, and they respond better to treatments like Pulsed Dye Laser (PDL). Older, white stretch marks are harder to treat and often require fractional or ablative laser therapy to rebuild collagen.

How many sessions will I need to see results?

Most patients require 4–6 sessions spaced a six weeks apart, but the number of sessions depends on the treatment type and the severity of the stretch marks.

It is important to remember that results vary by treatment type and individual. Improvement in texture and colour is usually visible after a few sessions, with optimal results appearing over several months as collagen rebuilds.

Are there any side effects or risks?

Common side effects include redness, swelling, or mild irritation, which typically resolve within a few days. Rarely, pigmentation changes or scarring may occur.