Stretch Mark Removal

The exact cause of stretch marks is unknown. It is thought, however, that the striae are the result of the skin's collagen and elastic fibers breaking down under stress. Pregnancy, bodybuilding and weight loss are the leading causes of stretch marks. Stretch marks occur most frequently in areas of mechanical stress such as the breasts, abdomen, thighs, groin or buttocks. In the beginning, stretch marks appear reddened. They turn white as part of the healing process. It is during the period of time, when stretch marks are the reddest, that they are the most amenable to treatment with a laser.

In the past, cryosurgery or freezing, excision, steroid injections, and the utilization of topical creams and ointments were the standard of care for the treatment of scars and stretch marks. The results of these treatments ranged from fair to minimal, with recurrences commonly seen after many of these treatment options.

Dr. Roche has done extensive research on the latest laser technology and has formulated a treatment plan that he now teaches to physicians worldwide. Utilizing a specific combination of laser therapy, Dr. Roche treats stretch marks at various ages of maturity in an effort to soften or blend the stretch marks. It is very common to be able to reduce the appearance of a stretch mark to make it such that it is barely visible from conversational distance. Many of the lasers are utilized to stimulate the capillary blood flow of the stretch mark or cells called fibroblasts, which create the body's own collagen. This causes new collagen to be produced under the stretch mark or scar until it more closely resembles surrounding normal skin.

ReLume is the first FDA cleared device of its kind to offer a practical treatment solution for patients with white stretch marks and hypopigmented scars. Utilizing the latest advances in fiber-optic technology, the ReLume system precisely delivers therapeutic 290 to 320 nanometer light to the targeted area. The devices unique light stimulates melanocytes and enhances the production of melanin to restore lost pigment in the affected area. Dr. Roche, who has been using the ReLume device, stated, five to six treatments often achieved 75 to 100 percent repigmentation of stretch marks. ReLume treatments are painless, safe for all skin types, and require no downtime. Study participants were very satisfied with the cosmetic improvement after undergoing ReLume therapy.

This treatment combines the PHOTOPEEL utilizing the VersaPulse® C and the IPL Quantum-SR systems as the first step resulting in improved skin appearance and texture. Improvement is achieved by stimulating new collagen so the stretch marks or scars resemble surrounding normal skin. Microdermabrasion, chemical peels and topical silicone are incorporated into this process. Some patients may require a second step requiring re-surfacing of the skin with the CO2/Erbium combination. Immediately after treatment patients see a range of either bruising, raised red areas, or some areas of small blood blisters. Healing time, immediately after a treatment for stretch marks, ranges anywhere from a few days to a few weeks. The rebuilding process of new collagen typically requires six weeks after each treatment. This is why treatments are typically spaced six weeks apart. Anesthetics may be required in some cases.

Results

Results vary from patient to patient and may not be immediate. Results from stretch mark therapy are generally progressive and may require multiple treatments. Sixty to 75 percent of patients receiving laser therapy for stretch marks notice a marked improvement. Newer and shallower stretch marks and scars respond better than older and deeper scars and stretch marks. Dr. Roche has, however, developed a treatment regimen for older stretch marks. To enhance the results of laser therapy, he may recommend the utilization of various creams, such as Retin-A or Glycolic acid cream prior to and during your laser therapy.

The skin in the immediate area of treatment may be red for several weeks to several months. There may be some temporary darkening of the skin or permanent lightening of the skin in the area of treatment.

The ability to soften stretch marks has been a valuable addition to the armamentarium of treatments that laser surgeons have to improve self-esteem.

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