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Signs and symptoms of stretch marks include:

• Indented streaks or lines in the skin
• Multiple pink, red or purple streaks
• Bright streaks that fade to light pink, white or grayish color

Stretch marks are common on the abdomen, breasts, upper arms, buttocks and thighs. Sometimes they can cover large areas of the body.

When to see a doctor
See your doctor if you're concerned about the appearance of your skin or if the stretch marks cover large areas of your body. Your doctor can help determine the cause of the stretch marks and can discuss possible treatment options.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Stretch marks seem to be caused, literally, by a stretching of the skin, coupled with an increase in cortisone, a hormone produced by the adrenal glands. Cortisone may weaken elastic fibers in the skin.

Stretch marks develop in a variety of circumstances, including:

• Pregnancy. Most pregnant women develop stretch marks by the end of their pregnancy. The physical stretching of the skin, along with hormonal factors, likely plays a role.
• Weight gain. Stretch marks sometimes occur during substantial weight gain. Weightlifters also can develop stretch marks, particularly on the arms. Adolescents may notice stretch marks during growth spurts.
• Medication use. Corticosteroid creams, lotions and pills, and chronic use of oral or systemic steroids can cause stretch marks.
• Conditions or diseases. Cushing's syndrome and adrenal gland diseases can cause widespread stretch marks, as can Marfan syndrome, Ehlers-Danlos syndrome and other hereditary (genetic) disorders.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Stretch marks are more common in women than in men, and more common in white women than in Asian or black women. Risk factors include:

• Being female
• Having a family history of stretch marks
• Being pregnant, especially for younger women
• Having larger babies
• Being overweight or obese
• Rapidly gaining or losing weight
• Using corticosteroid medication

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Here's some information to help you prepare for your appointment.

What you can do
Jotting down a list of questions will help you make the most of your appointment time. List your questions from most important to least important. For stretch marks, some basic questions to ask your doctor include:

• What is likely causing my stretch marks?
• Other than the most likely cause, what are other possible causes for my symptoms?
• What is the best course of action?
• What are my treatment options and the pros and cons for each?
• What results can I expect?

Don't hesitate to ask questions at any time during your appointment.

What to expect from your doctor
Your doctor is likely to ask you several questions, such as:

• When did you first notice the stretch marks?
• Do you have other symptoms?
• What medications are you taking?
• Do you regularly use cortisone skin creams?

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Stretch marks are typically diagnosed based on an examination of your skin and a review of your medical history. Your doctor will ask questions about your signs and symptoms, medications you're taking, and any known medical conditions.

If your doctor suspects that a medical condition is causing the stretch marks, he or she may recommend urine or blood tests, imaging tests or other medical tests.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Although they may be a cosmetic concern, stretch marks are harmless and often fade over time. They don't require medical treatment. If you do seek treatment for stretch marks, know that treatments are only partially effective and won't remove the stretch marks completely.

The following treatments are among those available to help improve the appearance of stretch marks. None has been proved to be more consistently successful than the others.

• Tretinoin cream. Some research has shown that tretinoin cream (Retin-A, Renova) may improve the appearance of recent stretch marks — those that are less than six weeks old and still pink or red in color. Tretinoin should never be used during pregnancy. Tretinoin, when it works, helps to rebuild collagen, making the stretch mark look more like your normal skin. Tretinoin can irritate your skin. This treatment isn't effective on older stretch marks.
• Pulsed dye laser therapy. Used at wavelengths of light that are nonwounding (nonablative), this type of laser therapy remodels underlying skin (dermis) by stimulating the growth of collagen and elastin. Pulsed dye laser therapy is most effective when stretch marks are new, but it may still be effective on older stretch marks. This type of treatment may alter skin color on darker skin tones.
• Fractional photothermolysis. Like pulsed dye laser therapy, this nonablative laser treatment uses wavelengths of light to stimulate new growth of collagen and elastin. The difference is that it causes partial (fractional) damage to small dot-like areas within a targeted zone. Because most of the treated area remains undamaged, the skin heals quickly.
• Microdermabrasion. This type of treatment involves a hand-held device that blows crystals onto skin. These crystals gently abrade or "polish" the skin's surface. Then, a vacuum tube removes the crystals and skin cells. Microdermabrasion gently removes the skin's topmost layer, which may result in new skin growth that is more elastic. This therapy is an option for older stretch marks.
• Excimer laser. The excimer laser does nothing for collagen or elastin growth. Instead, its aim is repigmentation by stimulating melanin production. If it works, the old and lighter streaks become similar in color to the surrounding skin, and therefore less visible. This is often used for older stretch marks.

Work with your doctor to choose the most appropriate treatment. Factors to consider include:

• Age of the stretch marks
• Convenience of treatment — therapies differ in length and frequency of sessions
• Cost — these options are cosmetic and usually not covered by medical insurance
• Your expectations — most treatments, at best, are only partially effective

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

You've likely seen creams, ointments and other products that claim to prevent or treat stretch marks. These products, often containing cocoa butter, vitamin E or glycolic acid, aren't harmful, but they probably won't help much, either.

Stretch marks usually fade and become less noticeable over time and don't require any specific self-care or home therapy.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Many alternative therapies claim to treat stretch marks, including castor or olive oil, seaweed wraps, or combinations of botanicals, vitamins and fruit acids. There's no evidence that these products work.

If you're pregnant, check with your doctor before using alternative products that claim to treat or prevent stretch marks.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

There's no way to prevent stretch marks, even if you rub plenty of creams, oils and lotions on your skin. The best way to reduce the likelihood of getting stretch marks is to maintain a healthy weight. During pregnancy, you'll necessarily gain weight over a relatively brief period, but you can work with your doctor to minimize the gain — not just to minimize stretch marks, but for the health of you and your baby — by eating well and exercising.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.