What is the first treatment for stretch marks?

Stretch marks form when the deeper skin is stretched and its supporting fibres change. Newer marks may look red, pink or purple, while older marks often become lighter and indented. Carboxytherapy uses controlled carbon dioxide delivery in the skin to stimulate a local response; a clinician may discuss it when the goal is to soften the contrast or texture of the marks. No procedure restores stretched skin to its original appearance, and the response can vary between body areas.

Treatment planning depends on whether the marks followed pregnancy, weight change, growth or medication use, as well as their colour, width and duration.

Arrange an assessment with a qualified dermatology or aesthetic clinician before choosing a procedure. They can confirm that the marks are stretch marks and review pregnancy, breastfeeding, medicines, pigment sensitivity and any tendency to form raised scars. Ask how many visits may be needed, what skin changes are expected during healing and how sun protection will be handled.

Depending on the pattern, alternatives may include [Microneedling](/treatments/aesthetic-procedures/microneedling/), [Fractional Laser Treatment](/treatments/laser-and-energy/fractional-laser-treatment/) or [RF Microneedling](/treatments/laser-and-energy/rf-microneedling/). Do not apply strong bleaching or steroid products without medical advice.

Seek medical assessment if marks appear suddenly without an obvious period of stretching, spread quickly, or occur with easy bruising, muscle weakness or other new body changes. If you are considering treatment while pregnant, breastfeeding or using steroid medicine, discuss timing with a clinician first. After a procedure, contact the treating service for worsening pain, spreading redness, pus, fever or a blistering reaction.

Which treatment fits the colour, age and location of my marks? What improvement is realistic for my skin type? How should I prepare, protect the area from sunlight and care for it afterward?