Stretch Marks Removal

Restore and resurface your stretch marks safely and effectively.

Customised and comprehensive treatment plan using a combination approach for the most effective and long-term improvement of your stretch marks.

• Professional | Established | Trusted
• Non-invasive, No Surgery
• Rebuilds collagen and elastin for stronger looking skin
• Skin Tightening at the same time
• Safe for all skin types

What Are Stretch Marks?

Stretch marks are a fairly common skin condition. It affects areas that undergo repetitive stretching. Stretch marks result in scarring at the dermal level, and atrophy (loss of skin cells) at the epidermal level. Although it does not result in any medical problems, stretch marks cause much distress to those affected by it.

Some groups are more susceptible to stretch marks more than others. During pregnancy, common areas affected include the abdomen and breast, whereas male bodybuilders commonly get stretch marks on their shoulders. Adolescents who experience rapid growth during puberty may develop stretch marks at the thighs and backs. Overuse of some topical medications e.g. steroids may also result in striae distensae.

Stretch marks may first start to appear pink in colour, then turn reddish (Striae Rubra) and finally overtime it lightens (Striae Alba). Striae rubra become apparent for about 4 months, while straie alba may start to appear for many months to years later.

Our
Approach

HOW DR.NG TREATS stretch marks

Stretch marks treatment represents a transformative journey towards skin revitalization and renewed confidence for individuals affected by these common yet often distressing skin imperfections. Characterized by streaks or bands of discolored skin, stretch marks can result from rapid changes in body size, such as during pregnancy, puberty, or periods of rapid weight gain or loss. Through a comprehensive approach tailored to each individual's unique needs and goals, we offer a range of innovative treatments to address stretch marks effectively.

What Stretch Marks Removal treatments are available?

Stretch marks removal treatment takes into account the following:

• Type of Striae Distensae e.g. striae rubra or striae alba
• Skin Phototype. Individuals with darker skin colour should select treatments that are safer.
• Pre-existing skin condition
• Affected area involved
• Cost-benefit-ratio
• Downtime

Despite the various treatment options available, the treatment of stretch marks remain a challenge. A customised treatment approach that takes into consideration your stretch mark subtype, your skin type and goals in mind are integral in planning the best stretch marks removal treatment for you.

Stretch mark removal treatment options include:

• Topical medication e.g. retinoids
• Chemical peels - Improves superficial layer of the skin.
• Vascular Lasers - This reduces redness and inflammation, good for early scars.
• Fractional Ablative laser -  Builds collagen to resurface skin, higher risk of PIH in darker skin.
• Fractional Pico-second laser - induces collagen and elastin, safer in dark skin type.
• Fractional Microneedle RF - collagen induction treatment to improve stretch marks while minimising damage to the skin/

Early Stretch Marks (Striae Rubra)

The Advatx lasers uses a  wavelength in the pulsed dye range to target the redness of  stretch marks, stimulates collagen growth and repairs your skin. The vascular 589nm wavelength is specific for the haemoglobin that is responsible for giving the red colour in striae rubra. Redness improves in appearance in a few treatments.

Mild redness may be expected after your laser treatment. This usually subsides in about 5-8 days. Repeated treatments of laser stretch marks removal will lead to better results.

Mature Stretch Marks (Striae Alba)

The goal here is to rebuild collagen and elastin in the dermal layer of the skin. There are various ablative and non-ablative laser and energy-based devices treatment that can do this.

At APAX Medical and Aesthetics Clinic, we offer advanced Fractional modalities like the Fractional Pico-second laser and Fractional Microneedle RF treatments such INFINI system and the Genius.

Having performed thousands of fractional treatments in individuals of all skin types, Dr Ng believes that fractional devices has the advantage of shorter downtimes, higher safety profile and lesser risks of side effects.

Over time, new collagen is formed, skin is strengthened and skin texture improves. Typically 4-6 treatment sessions will give the best results. Treatment procedure is comfortable, safe for all skin types and is associated with little downtime.

Fractional Microneedle RF vs. Laser

Fractional microneedling and laser therapy are both effective treatments for stretch mark removal, but they differ in their mechanisms of action, treatment approach, and outcomes. Here's a comparison between fractional microneedling and laser therapy for stretch mark removal:

1. Mechanism of Action:

   • Fractional Microneedling: Fractional microneedling, also known as microneedling with radiofrequency (RF) or microfractional RF, works by creating tiny punctures in the skin with fine needles. These micro-injuries stimulate the body's natural wound healing process, leading to the production of new collagen and elastin, which helps to improve the appearance of stretch marks.
   • Laser Therapy: Laser therapy for stretch marks removal involves using a focused beam of light to target and break down the pigment in the stretch marks and stimulate collagen production. Different types of lasers, such as fractional CO2 lasers or fractional non-ablative lasers, may be used depending on the depth and severity of the stretch marks.

2. Treatment Approach:

   • Fractional Microneedling: Fractional microneedling treatments typically involve multiple sessions spaced several weeks apart to achieve optimal results. The depth of the microneedles can be adjusted based on the depth of the stretch marks and the individual's skin type and tolerance.
   • Laser Therapy: Laser treatments for stretch marks removal may also require multiple sessions, with the specific number determined by the severity of the stretch marks and the type of laser used. Some lasers may have longer downtime and require post-treatment care to minimize the risk of side effects.

3. Downtime and Side Effects:

   • Fractional Microneedling: Fractional microneedling generally has minimal downtime, with mild redness, swelling, and discomfort lasting for a few days after each treatment. Side effects are typically temporary and resolve within a week.
   • Laser Therapy: Laser treatments may have a longer downtime, especially with ablative lasers, which can cause significant redness, swelling, and peeling that may last for several days to weeks. Non-ablative lasers may have less downtime but still carry a risk of temporary side effects such as redness and swelling.

4. Effectiveness:

   • Both fractional microneedling and laser therapy have been shown to be effective in improving the appearance of stretch marks, particularly when used in combination with other treatments or modalities. The choice between the two depends on factors such as the type and severity of the stretch marks, skin type, treatment goals, and individual preferences.

In summary, both fractional microneedling and laser therapy are viable options for stretch mark removal, offering effective results with minimal downtime and side effects. The choice between the two depends on individual factors and should be made in consultation with your doctor.

Frequently Asked Questions About Stretch Marks

Through personalized attention and expert guidance, stretch marks treatments empower individuals to embrace their bodies with confidence, reclaiming their natural beauty and celebrating their unique journey to skin health and vitality. These treatments may include laser therapy, microneedling, radiofrequency, chemical peels, or topical creams and ointments, each carefully selected based on factors such as the severity and location of the stretch marks, skin type, and treatment preferences. By stimulating collagen production, improving skin texture, and reducing discoloration, stretch marks treatments work to restore the skin's integrity and appearance, resulting in smoother, more resilient skin.

Dr. Moses Ng

Schedule a consultation for Stretch Mark Removal treatment in Singapore

If you are having stretch marks and have tried over the counter products that do not seem to work, it may be time to seek professional help. Dr Ng. who is experienced and highly skilled with various lasers and energy-based modalities will create a personalised stretch mark protocol that delivers long-lasting enhanced results to restore your skin.

References:

1. Al-Himdani S, Ud-Din S, Gilmore S, Bayat A. Striae distensae: A comprehensive review and evidence-based evaluation of prophylaxis and treatment. Br J Dermatol. 2013 Oct 11.
2. Suh DH, Chang KY, Son HC, Ryu JH, Lee SJ, Song KY. Radiofrequency and 585-nm pulsed dye laser treatment of striae distensae: a report of 37 Asian patients. Dermatol Surg. Jan 2007. 33(1):29-34.
3. Ryu HW, Kim SA, Jung HR, Ryoo YW, Lee KS, Cho JW. Clinical improvement of striae distensae in Korean patients using a combination of fractionated microneedle radiofrequency and fractional carbon dioxide laser. Dermatol Surg. 2013 Oct. 39(10):1452-8.
4. Zaleski-Larsen LA, Jones IT, Guiha I, Wu DC, Goldman MP. A comparison study of the nonablative fractional 1565-nm Er: glass and the picosecond fractional 1064/532-nm Nd: YAG lasers in the treatment of striae alba: A split body double-blinded trial. Dermatol Surg 2018;44(10):1311–1316.
5. Kaewkes, A, Manuskiatti, W, Cembrano, KA, Wanitphakdeedecha, R. Treatment of abdominal striae distensae in Fitzpatrick skin types IV to V using a 1064-nm picosecond laser with a fractionated microlens array. Lasers Surg Med. 2022; 54: 129– 137. 
6. Lokhande AJ, Mysore V. Striae distensae treatment review and update. Indian Dermatology online journal. 2019 Jul;10(4):380.