About 90% of pregnant women get stretch marks. Growth spurts and sudden or excessive weight gain cause stretch marks in young people. They affect 70% of adolescent females and about 40% of young males. Young women commonly get them on their breasts, thighs, hips, abdomen and buttocks. Young people often develop stretch marks from participating in certain body-altering sports such as weightlifting or from the use of dangerous bodybuilding steroid drugs.
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Stretch Marks and Pregnancy
Though the nine months of pregnancy are a wonderful time in a woman’s life, there are a host of undesirable changes that occur in the skin during this period. Some of these are due to hormonal influences and others are due to the mechanical changes in the body associated with pregnancy.
Stretch marks are one of the most well known and talked about skin changes that can occur during pregnancy. They are thought to be secondary to thinning of the skin during this time period from female hormones which disrupt the protein balance in the skin. Almost 90% of pregnant women will experience stretch marks, usually developing during the third trimester. There is a genetic predisposition to developing stretch marks during pregnancy. Many women find the appearance of stretch marks to be distressing.
Stretch Mark therapies & Stretch Mark Removal
There are plenty over-the-counter treatments for stretch mark, such as Strivectin. Unfortunately no topical remedies have been medically proven to improve the appearance of stretch marks. RetinA, glycolic acid, alphahydroxy acids have been prescribed with very little success. Dermabrasion or chemical peels have also been used. The results of these treatments range from fair to minimal.
Surgical options involve removing areas of stretched skin. In a tummy tuck procedure, for instance, skin below the belly button is removed. This is often an area in which stretch marks are prominent. It also works by tightening the skin in nearby regions. These surgical techniques are effective, but are more invasive than other options and thus involve longer recovery time.
New advances in lasers have shown improvement in stretch marks. The degree of success with laser treatment will be impacted by your age, your skin tone and the age of the stretch marks.
How do Laser Treatments Work?
Current laser technology has been shown to improve or eliminate red or raised scars. The science of using lasers to remove stretch marks is that it stimulates the skin’s natural synthesis of collagen. Collagen is a protein rich compound occurring in the body that repairs and rejuvenates skin tissue. Cosmetic laser treatment for stretch marks works to stimulate renewed growth of depleted collagen. It removes damaged skin tissue, seals broken blood vessels and repairs the fibers of the middle skin. This helps to “fill in” the stretch marks.
Anti-stretch mark creams also follow the same line of treatment but are not very effective. This is because creams do not penetrate beyond the top layer of the skin. Thus, they do not reach the layer where the skin produces collagen. However, lasers reaches the underlying levels of the skin and effectively repairs the damage.
What lasers are used to treat stretch marks?
At Reflections various lasers are used to treat stretch marks. They include: VBeam, Fraxel Re:Store Dual and Portrait.
VBEAM laser
Vbeam is a pulsed dye laser that is used to treat the red color of the stretch marks. The procedure is comfortable and require no down time. Patients will feel a sensation of a rubber band snap combined with a cool burst of air. After the treatment, the skin will be red with some localized swelling that is typically gone by the next day. Treatments are done monthly. Vbeam may be combined with other lasers such as the Fraxel.
FRAXEL Re:Store Dual laser
The Fraxel Re:Store Dual laser is the most effective treatment for stretch marks available today. Using Fraxel Re:Store Dual, we can stimulate collagen and elastin synthesis while resurfacing about 20% of your skin’s surface with each treatment. After a series of treatments, one will see improvement in the texture, diameter and depth of the stretch marks. If the stretch marks are red, the Vbeam laser should be used in combination with Fraxel Re:Store Dual.
The Fraxel Re:Store Dual laser treatment requires a topical anesthetic beforehand. During the treatment, the hand piece is gently guided across the skin like an airbrush painting your skin with micro-treatments beneath the surface of your skin. Treatments normally take about 20-25 minutes. The redness that is noticed after treatment dissipates within a few days. No downtime is required when it is used on the body area.
PORTRAIT Plasma Resurfacing
Portrait is not a laser, radio frequency, or light-based treatment. Portrait® works by delivering rapid pulses of nitrogen-based plasma to the skin’s surface. From the hand piece, the plasma transfers its energy onto the skin without any direct contact, causing a very controlled heating of tissue. Plasma stimulates the body to regenerate the damaged structural elements of the skin in a way that other technologies and treatments cannot. The results seen following a series of treatments get better over time, with clinical studies showing continuing improvement a year later a unique and significant advantage that distinguishes Portrait®.
The Portrait treatment requires a topical anesthetic beforehand. The treatment takes approximately 20-30 minutes and has been described as feeling like pulsating puffs of heat on the skin. We apply a gentle stream of cold air post treatment and apply either Aquaphor (a petrolatum like material) or a moisturizer, depending on the intensity of the treatment. Patients leave the office with the appearance of sunburn which dissipates over the next few days. There is no bleeding or oozing and no bandages are required.
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