Stretch marks, called striae distensae, are areas of skin that have thin glossy pinkish-red bands, stripes, or lines that can become white and scarlike in appearance over time. They occur most commonly on the breasts, hips, thighs, buttocks, abdomen, and flank due to rapid weight gain when the skin is stretched or distended. Because they result from bands of elastin broken far beneath the skin, over-the-counter products are ineffective. The only successful way to improve the appearance of stretch marks is through the use of doctor-prescribed treatments.
Tretinoin Cream
Research published in a 2001 issue of "Advances in Therapy" reported that the use of a 0.05 to 0.1 percent concentration tretinoin cream, used in Retin-A and Renova, can provide a 20 percent improvement in stretch marks by helping to rebuild collagen. The use of other retinoids like adapalene and tazarotene may also hold similar promise in the treatment of stretch marks. Unfortunately, tretinoin is less effective on older stretch marks and should ideally be used at the first sign of stretch marks in order to work. Tretinonin is not recommended for pregnant women or those who are nursing.
Chemical Peels
Chemical peels involve using a 20 percent solution of trichloroacetic acid to tighten the skin and penetrate into the deeper skin layers to stimulate collagen and elastin. Other chemicals used in peels include prescription-strength alpha hydroxy acids, or AHAs, and beta hydroxy acids, or BHAs, although they are less effective.
Microdermabrasion
Microdermabrasion is another technique used by dermatologists and plastic surgeons in which tiny crystals are blown onto the skin via a hand-held device, which abrade the surface of the skin, removing the top layer. The result is new skin growth that is more elastic, and is also effective on older stretch marks.
Vitamin E
In a double-blinded study published in the "Cochrane Database of Systematic Review" in 2000, scientists found that women given a cream with a form of vitamin E called alpha tocopherol had fewer stretch marks during pregnancy than those who were given a placebo.
Self-Tanners
Sunless self-tanning products won't fade or eliminate stretch marks, but they can help to cover them up. Many of these products are available in water-resistant formulas, which can make them an attractive option if you plan on spending time in the ocean or pool. Body makeup is also available over-the-counter to help cover these striae, especially helpful for summer clothing season.
