Since stretch marks are common among many people there are a number of treatment modalities to be applied. The most important factor is the selection of the suitable method on the basis of the severity of the condition. Even though it is not a life threatening condition, many people need treatment because of social stigma. In majority of cases stretch marks remain for a long time. There are some natural and modern methods to deal with stretch marks. The effect of treatment depends upon age, skin tone, general health, nutritional status and most importantly, the stage of stretch marks. When the treatment is given initially the result will be better; if delayed, then the result may not be as good.

1. External applications:
Topical creams and moisturizers, skin firming agents and skin hydrators are available in different trade names but they give fewer results in long standing cases; however the following topical agents are widely used with varying results.

Topical agents are supposed to promote collagen synthesis when applied on the affected skin.

• Topical retinoid therapy (retin A treatment) Examples: – Retinaldehyde, tretinoin, Isotretinoin, adapalene etc are used. Tretinoin should not be used during pregnancy and lactation.
• Glycolic acid creams are used to remove the outer layers of the skin.
• Silicon dioxide is used with some benefits.
• Elastin cream can promote formation of elastin.
• Hydroxyproline containing creams are useful.
• Alpha hydroxyl acids (8 to 10%) are used with good results.
• Glycerol is used as a moisturizer.
• Topical vitamins (E, A & K).
• Vitamin E oil is commonly used.
• Creams containing marine tissue extract are useful externally.
• Antioxidants (they act as scavengers of free radicals).
• Vaseline is routinely applied on the skin.
• Biopeptide CL containing creams are useful.
• Topical sunless tanning products are also useful.

Some naturally available substances are also used with good results, which are mentioned under a separate heading.

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