‘Only two things work’ – Dermatologist reveals how to actually treat stretch marks

Stretch marks are a very common skin concern

Naturally, for some people these marks can affect self-esteem, leading many to search for a solution. 

With the market flooded with products promising miracles, it's hard to separate fact from fiction. 

Fortunately, Dr. Aamna Adel, a dermatologist, has shed light on the real science behind stretch mark treatments.

Before diving into treatment options, Dr. Adel made an important point: "You need to treat stretch marks when they are red and early because when they're white and shiny, you've probably missed the boat." 

The earlier you treat them, the better the results you can expect. Once stretch marks mature and turn white, they are much harder to treat.

Despite the many over-the-counter products marketed as miracle cures, not all of them are effective. 

What Does Work?

There are only two products with substantial research behind them for treating stretch marks, according to Dr. Adel:

1. Tretinoin   

“Coming in at number one is tretinoin. We all know her, we love her,” Dr. Adel explains. 

Tretinoin is a well-known ingredient in skincare for improving complexion and addressing fine lines. 

However, its benefits extend beyond this. When used on early-stage, red stretch marks, tretinoin can help reduce their appearance and prevent further skin damage.   

However “this is not safe for my pregnant queens,” Dr. Adel emphasises. Pregnant women should avoid using tretinoin due to potential risks to the baby.

For those who prefer over-the-counter options, Dr. Adel suggests a retinol. “You can also kind of actually use an over-the-counter drugstore retinol from Naturium,” she says. 

While tretinoin is stronger and typically more effective, retinol is a gentler, more accessible option available in many chemists. 

As with tretinoin, the key is consistent use during the early stages of stretch marks.

2. Hyaluronic Acid

Another key player in the fight against stretch marks is hyaluronic acid. 

Known for its hydrating properties, hyaluronic acid can help improve skin elasticity and texture. 

Dr. Adel advises applying it daily, either as a serum or cream, to help keep the skin supple. 

While it won’t make stretch marks disappear, it can aid in their prevention and reduce their prominence over time.

What If You've "Missed the Boat"?

For those who didn't catch their stretch marks early and are now dealing with white, shiny marks, hope isn't lost. 

Dr. Adel says: “If you have missed the boat and your stretch marks are white and shiny, then don't completely despair because you can go and see your dermatologist in the clinic.” 

While topical treatments may be less effective at this stage, there are in-clinic procedures that can help. 

These treatments include laser therapy, microneedling, and radiofrequency, all of which can reduce the visibility of mature stretch marks.

While there’s no magic bullet for completely erasing stretch marks, early intervention with proven ingredients like tretinoin and retinol can make a significant difference. 

For older, more stubborn marks, professional treatments can still offer some relief. The key is to start treatment early and focus on what actually works, not the marketing hype. 

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