Striae are dermal tears from rapid stretch. They exist in two clinically distinct stages, and the stage determines what is worth doing.
Rapid expansion exceeds dermal elasticity and collagen fibres tear. Striae rubrae are red or purple and inflammatory; striae albae are white, atrophic and mature.
Red stretch marks are recent and still vascular. White ones are established scars with reduced collagen and no vascular component. They do not respond to the same approach, and the red stage is the more responsive one.
Stage and colour, distribution, duration, cause of the stretch, and skin thickness at the site.
Vascular-directed treatment for the red stage; collagen stimulation for the white. Realistic aim is reduced contrast and improved texture rather than clearance.
Anyone promising complete removal of mature white striae is overstating what the tissue allows.
Striae are dermal tears from rapid stretch. They exist in two clinically distinct stages, and the stage determines what is worth doing.
Red stretch marks are recent and still vascular. White ones are established scars with reduced collagen and no vascular component. They do not respond to the same approach, and the red stage is the more responsive one.
Stage and colour, distribution, duration, cause of the stretch, and skin thickness at the site.
Anyone promising complete removal of mature white striae is overstating what the tissue allows.
Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.
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