Stretch marks are narrow streaks or lines that occur on the surface of the skin.
Stretch marks are caused by tearing of the dermis. Doctors often refer to stretch marks as stria, striae or – during pregnancy – striae gravidarum. This is often from the rapid stretching of the skin associated with rapid growth or rapid weight changes. Stretch marks may also be influenced by hormonal changes associated with puberty, pregnancy, bodybuilding, or hormone replacement therapy. Over time they may diminish, but will not disappear completely. Stretch marks form during rapid growth of the body, such as during puberty or pregnancy. In pregnancy they usually form during the last trimester, and usually on the belly, but also commonly occur on the breasts, thighs, hips, lower back and buttocks. These are known as striae gravidarum. Stretch marks, officially known as striae gravidarum, or striae are actually a disruption in the elastic fiber network that runs through our skin, according to a new study published in the British Journal of Dermatology. As our skin expands during periods of quick growth, like puberty and pregnancy, the elastin/ elastin fibers in the skin stretches and breaks on a molecular level which never completely regains its original shape or tightness.
Stretch marks can occur any time that rapid growth takes place, which causes the skin to be stretched and fiber break. The marks actually take place in the dermis of the skin (the middle layer), which supports the epidermis (the outer layer).
Red to White
Stretch marks look red when they first appear, although they’ll fade into a white or gray color. The red color is because of the presence of blood vessels that lie beneath the skin, which are revealed when the fibers in the dermis break and little tears result. Stretch marks are often red or purple to start with, before gradually fading to a silvery-white colour. They’re usually long and thin.
Where stretch marks occur
Stretch marks can occur anywhere where the skin has been stretched, but they usually affect areas where fat is stored, such as the:
- upper arms
- shoulders (in bodybuilders)
- Sometimes, particularly in teenage boys, stretch marks can develop on the back, overlying the spine horizontally (like the rungs on a ladder).
Stretch marks caused by Cushing’s syndrome (where the blood contains high levels of a hormone called cortisol, see below) tend to be wider and larger, and can also appear on the face.
When stretch marks occur
Stretch marks often occur:
- during pregnancy
- after rapid weight gain
- during puberty
- if you have a family history of stretch marks
- if you have an underlying health condition or a syndrome, such as Cushing’s syndrome or Marfan syndrome
- after the prolonged or inappropriate use of corticosteroid medication
These are discussed in more detail below.
Stretch marks often occur during the later stages of pregnancy, affecting about 8 out of 10 pregnant women. Whether or not you’ll get stretch marks depends on your skin type and how elastic it is.
During pregnancy, hormones are produced that soften the ligaments in your pelvis so they’re more flexible when you give birth. Ligaments are strong bands of tissue that connect joints. However, the hormones also soften the fibres in your skin, making it prone to stretch marks.
As your baby grows and your skin stretches, you may get stretch marks on your tummy. You may also develop them on your thighs and breasts as they get bigger.
Stretch marks usually fade and become less noticeable after childbirth, but they don’t always disappear completely.
Rapid weight gain
You may get stretch marks if you put on a lot of weight over a short period of time. They sometimes remain even after losing weight, but should eventually fade.
Regular dieting can cause stretch marks as your weight goes up and down. If you need to lose weight, lose it slowly and steadily so that your skin isn’t put under strain. Read more about how to lose weight safely.
Bodybuilders and athletes can also get stretch marks as their muscles increase in size.
During puberty, the body often develops very quickly in growth spurts.
Boys may get stretch marks on their shoulders and back, and girls may get them on their hips, thighs and breasts.
If you have a close relative with stretch marks, such as your mother, you’re more likely to develop them yourself.
Although stretch marks can affect both male and female family members, they’re more common in women.
Underlying health conditions
Stretch marks can sometimes be related to rare conditions or syndromes, such as Cushing’s syndrome and Marfan syndrome.
Cushing’s syndrome occurs when the body overproduces the hormone cortisol, which is thought to cause stretch marks.
Marfan syndrome is caused by a faulty gene that weakens the body’s skin and connective tissues, reducing their elasticity (ability to stretch). This means the skin isn’t as resistant to stretch marks as it should be.
In Marfan syndrome, stretch marks can occur on the shoulders, hips and lower back.
In rare cases, stretch marks can develop after prolonged or inappropriate use of corticosteroids, such as creams or lotions used to treat skin conditions, including eczema.
Corticosteroids work in a similar way to the hormone cortisol. They can help ease inflammatory skin conditions but, like cortisol, they can also reduce the amount of collagen in your skin.
Collagen is a protein that helps keep your skin stretchy. The less collagen there is in your skin, the more likely you are to develop stretch marks.
When using a corticosteroid cream or lotion, follow the manufacturer’s instructions about how and where to apply it. The face, groin and armpits are particularly sensitive areas. Ask your GP or pharmacist for advice if you’re unsure.
How stretch marks develop
Before stretch marks appear, the affected skin will become thin, flattened and pink, and may feel itchy.
The stretch marks themselves appear as red or purple streaks or lines, but can be pink, reddish-brown or dark brown, depending on your skin color.
They can occur in patches of parallel lines on your body and often appear “scar-like”. To start with, the lines will be slightly raised and may feel wrinkly, before eventually flattening out.
As the lines become flatter, they’ll start to fade and change to a white or silvery color. They’ll usually become less noticeable over time, although this process can sometimes take years.
What causes stretch marks?
Stretch marks are caused when the skin rapidly stretches as a result of sudden growth or weight gain.
The stretching causes the middle layer of skin (dermis) to tear, allowing the deeper skin layers to show through, forming stretch marks.
The dermis contains strong, inter-connected fibers that allow your skin to stretch as your body grows. However, rapid growth can cause the skin to over-stretch and break the fibers.
The tears in the dermis allow the blood vessels below to show through, which is why stretch marks are often red or purple when they first appear.
When the blood vessels eventually contract (get smaller), the pale-colored fat underneath your skin will be visible, and your stretch marks will change to a silvery-white color.
Treating stretch marks
Most stretch marks aren’t particularly noticeable and will fade over time.
If you have unsightly stretch marks, or if they affect a large area of your body, there are a few treatment options available. However, there isn’t much evidence to show that these treatments work.
Cosmetic camouflage (make-up) is available over-the-counter at pharmacies. It can be used for small areas of skin affected by stretch marks. Some types are waterproof and can last two to three days. Or Camouflage Tattooing treatments are available. However Elsa recommends to treat the stretch mark before attempting to cover it up. She prefers to Camouflage Scars or Skin discoloration and not stretch marks with pigment. She finds needling treatments in conjunction with UV therapy and the proper serums and growth factors get the best results for treating stretch marks. This is a process and not a one and done, but highly effective when done consistently and properly.
Creams, gels and lotions
The manufacturers of creams, gels and lotions often claim that they can remove stretch marks. However, it’s unlikely they can prevent stretch marks occurring, or make them fade any more than they will over time.
These products are essentially skin moisturisers and are available from pharmacies, supermarkets, and health and beauty shops. They should usually be applied when your stretch marks are still red or purple.
Laser therapy can’t completely remove stretch marks, but it may help fade them and make them less noticeable. Laser treatments that resurface the skin such as fractional lasers seem to be the most effective in treating stretch marks
Several different types of laser therapy are used to treat stretch marks.
Pulsed dye laser treatment is one type of laser treatment available. It’s painless and can be used at an early stage, while your stretch marks are still red or purple.
The energy from the laser is absorbed by the blood vessels underneath your stretch marks. The blood vessels collapse and the red or purple color either disappears completely or turns white.
Laser therapy for stretch marks isn’t available on the NHS and it’s usually expensive. You’ll probably need a few treatments to obtain visible results. The exact number will depend on your skin color and type.
Cosmetic surgery for stretch marks is expensive and rarely recommended.
If you have stretch marks on your abdomen and a large amount of loose skin, it may be possible to have a tummy tuck (abdominoplasty).
This is a type of cosmetic surgery that removes excess fat and skin from your abdomen, and also gets rid of stretch marks below your belly button.
As this surgery is carried out for cosmetic reasons (to improve appearance), it isn’t available on the NHS. It also carries a number of associated risks and can cause considerable scarring.
Preventing stretch marks
Stretch marks can’t always be prevented – for example, they often occur during pregnancy. However, there are some things you can do to help lower your chances of getting stretch marks. Keeping the skin moisturized will help with its elasticity and overall health condition. Not gaining weight rapidly will also help prevent stretch marks from occurring.
Weight and diet
Stretch marks are often caused by gaining weight rapidly over a short period of time. Avoiding rapid weight gain and weight loss (“yo-yo dieting”) can help prevent stretch marks.
If you need to lose weight, you should do it slowly by eating a healthy, balanced diet and exercising regularly. You shouldn’t lose more than 0.5kg (1lb) a week. Read more about how to lose weight safely.
It’s important to eat a healthy, balanced diet that’s rich in vitamins and minerals, particularly vitamin E, vitamin C, and the minerals zinc and silicon. These vitamins and minerals will help keep your skin healthy.
A balanced diet will provide all the vitamins and minerals your body needs. Dietary supplements aren’t needed to prevent stretch marks.
Body mass index (BMI) is a measure most people can use to check whether their weight is healthy in relation to their height and build. For most adults, a BMI of 18.5 to 25 is considered healthy.
You can use the BMI healthy weight calculator to find out whether you’re overweight.
Stretch marks during pregnancy (striae gravidarum) are usually caused by hormonal changes that affect your skin. Gaining pregnancy weight steadily may help minimise the effect of stretch marks.
During pregnancy, it’s normal to put on weight over a relatively short period of time. However, it’s a myth that you need to “eat for two”, even if you’re expecting twins or triplets.
If you’re pregnant you don’t need to go on a special diet, but you should eat a variety of foods every day to get the right balance of nutrients for you and your baby. Your diet should be rich in wholewheat carbohydrates, such as bread and pasta, as well as fruit and vegetables.
Read more about diet during pregnancy and being overweight and pregnant.
Emotional effects of stretch marks
Some people find having stretch marks distressing. See your Doctor if you have stretch marks and you’re depressed, or they’re affecting your daily activities.
MORE TIPS FOR HEALTHY SKIN:
- Get 8 hours of sleep
- Drink 64 oz of water a day
- Take off your makeup every night
- Moisturize your skin!
- Use mineral makeup
- Use products that are fragrance free, and have a limited amount of preservatives in them.
- Eat a healthy well balanced diet.
- Exercise 3x a week and use sauna to sweat out toxins.
- Exfoliate once a week to every other week. (Do not exfoliate your permanent makeup that frequently!)
- Take cool showers
- Witch Hazel is a great toner and helps with inflammation. This is all Elsa uses to cleanse her permanent makeup daily, following with a gentle moisturizer and SPF.
- Stay out of the sun, wear sunscreen daily. SPF 15-30 daily, 50+ SPF in warmer climates.
- Do not pick at your skin or scabs/skint traumas.
- Do not gain or lose weight rapidly.
- Avoid comedogenic products (oil clogging.)
- Smile Vs Frown- you use more muscles frowning vs smiling. Therefore you create more wrinkles frowning. So smile and don’t sweat the small stuff!