Most stretch marks appear on the lower abdomen, but also frequently occur on the breasts, hips and thighs. Stretch marks appear when the deeper layer of skin known as the dermis stretches beyond its capacity, creating small tears, leading to linear scarring.

Women frequently wonder what, if anything, can be done to diminish their stretch marks. While many products claim to prevent or diminish stretch marks, unless a product penetrates the deeper layers of skin, it will not have a dramatic effect. While there is some evidence that topical retinoids (i.e., Retin-A) may reduce the appearance of stretch marks, it is contraindicated during pregnancy, and not advised to be used during breast-feeding.  

Microneedling is a new technique that can induce collagen formation, which can improve the appearance of stretch marks.  A series of treatments spaced out over a few months can make a significant difference in the quality of the skin.  At Duet, we use the SkinPen in a comfortable, in-office procedure to help patients improve the look of striae after pregnancy.

Otherwise, the most effective treatment for stretch mark removal is direct excision of the scarring. Stretch marks that appear on the lower abdomen are often associated with extra, loose skin. Tummy tuck surgery, or abdominoplasty, can remove the extra abdominal skin, and often most of the stretch marks, while tightening the abdominal muscles.