Stretch marks (striae) are scars from rapid skin stretching. Treatments include topical retinoids for new marks, fractional lasers and pulsed dye lasers for color and texture, and microneedling (often combined with PRP). Over-the-counter creams show limited evidence. No therapy guarantees full removal; early intervention and a tailored plan with a dermatologist give the best chance of noticeable improvement.

What stretch marks are and why they form

Stretch marks (striae or striae distensae) are linear scars that appear when the dermis stretches faster than it can adapt. Common triggers include pregnancy, rapid weight gain or loss, puberty, and rapid muscle growth. New marks often look red or purple; older marks fade to white or silver. They are not harmful but can concern people for cosmetic reasons.

Treatment options - realistic expectations

No treatment guarantees complete removal. Most therapies aim to improve texture, color, and appearance. Results vary by the age of the marks, skin type, and treatment intensity. Newer, red striae respond better than long-standing pale striae.

Topical treatments

Topical retinoids (tretinoin) can improve early, red stretch marks by stimulating collagen remodeling. They are contraindicated in pregnancy and breastfeeding. Some topical products that contain hyaluronic acid, centella asiatica extracts, or peptides show modest benefit in small studies, but over-the-counter creams (cocoa butter, vitamin E alone) lack consistent evidence for removal.

Procedural options

Laser and light therapies: Pulsed dye laser can reduce redness. Fractional lasers (non-ablative and ablative fractional devices) stimulate collagen and often improve texture and depth of marks. Multiple sessions are usually required.

Microneedling (percutaneous collagen induction) creates controlled microinjuries to stimulate collagen and can improve both color and texture. Combining microneedling with topical platelet-rich plasma (PRP) or topical agents may enhance results.

Microdermabrasion and chemical peels may help superficial texture but offer limited benefit for deep striae.

All procedures carry risks (pigment changes, scarring, infection) and should be performed by trained providers.

Prevention and self-care

You cannot always prevent stretch marks, but steps can reduce the chance or severity. During pregnancy and growth phases, aim for gradual, steady weight gain, balanced nutrition, and good skin hydration. Moisturizers improve comfort and skin elasticity but do not reliably prevent all stretch marks.

Choosing a treatment

Match treatment to your goals and the mark's stage. Early, red marks respond better to topical retinoids and some lasers. Older, pale marks respond more slowly and may need combined approaches. Discuss risks, costs, and realistic outcomes with a board-certified dermatologist or qualified provider.

Bottom line

Stretch marks result from dermal stretching and collagen changes. Several medical and procedural options can reduce their appearance, but none offer consistent, complete removal. Work with a clinician to choose evidence-based treatments appropriate for your skin type and stage of stretch marks.

FAQs about How To Get Rid Of Stretch Marks

Can stretch marks be completely removed?
No treatment reliably removes stretch marks completely. Many options can reduce color and texture, and early marks respond better than older ones.
Are over-the-counter creams effective?
Most common OTC products (like cocoa butter and vitamin E) lack consistent evidence. Some formulations with hyaluronic acid or plant extracts may offer modest benefit, but results vary.
Is laser treatment worth trying?
Laser therapies (pulsed dye, fractional lasers) can improve redness and skin texture. They often require multiple sessions and carry risks such as pigment changes.
Can I use retinoids during pregnancy to treat stretch marks?
No. Topical retinoids (tretinoin) can help early stretch marks but are contraindicated during pregnancy and breastfeeding.
Does microneedling work for stretch marks?
Yes. Microneedling stimulates collagen production and can improve both color and texture. Combining it with PRP or topical agents may increase effectiveness.