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Weight Management
Weight Management

Do Stretch Marks Go Away When You Lose Weight?

Christine Russell, MS, RD, LD, CDCES
Author: 
Medical Reviewer: 
Christine Russell, MS, RD, LD, CDCES
|
Author: 
Sarah Bullard, MS, RD
Published:
November 20, 2023
Updated on
#
min read
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Table of Contents

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Weight Management

Key Takeaways

  • Stretch marks are common and affect up to 90% of people.
  • Many factors outside of your control determine the prevalence and appearance of stretch marks. 
  • A registered dietitian nutritionist can help you achieve healthy, safe weight loss with a focus on overall health and daily life improvement. 

Stretch marks (or striae distensae) are common; up to 90% of people have them somewhere on their body.

Although common, certain people are more likely to get stretch marks than others. 

Stretch marks are a natural process of skin growth and change in the human body.

Although they’re a common skin complaint, they’re not harmful or cause for concern. 

Keep reading to learn what happens to stretch marks after weight loss, tips for managing and embracing stretch marks, and how a registered dietitian nutritionist (RDN) can help with safe weight loss.

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Do Stretch Marks Go Away When You Lose Weight?

Stretch marks don’t usually go away completely when you lose weight.

However, stretch marks generally fade and become less noticeable with time. 

When stretch marks first appear, they are red (striae rubrae).

New stretch marks can be treated with topical creams to reduce swelling and irritation and improve skin collagen and fiber creation, resulting in less noticeable stretch marks when healed.

Clinical trials related to topical treatment of older stretch marks are low quality and contain small amounts of participants.

Therefore there is little evidence that topical treatments can improve old (healed) stretch marks. 

Interestingly, stretch marks related to puberty tend to become less evident with time, and stretch marks during pregnancy improve after delivery. 

Why Do I Have Stretch Marks?

Stretch marks are a type of skin scarring related to the stretching of the skin.

There is some debate concerning how stretch marks are formed. 

However, the consensus is that as the skin stretches, connective tissues are altered and reorganized, and the skin may be thinner or look overstretched with the collagen structure breaking. 

Additionally, increased corticosteroids in your body from medications or conditions can cause stretch marks.

They look like lines or different colored thin stripes on the skin. 

The body undergoes many phases of rapid growth from birth to adulthood.

Often, rapid weight changes cause the skin to stretch.

Common conditions or growth periods leading to stretch marks include:

  • Pregnancy (more common in younger women compared to older women, larger babies, or multiples).
  • Puberty (growth spurt).
  • Weight gain (rapid and abdominal weight gain).
  • Fast muscle growth (weight lifters). 
  • Conditions associated with increased corticosteroids within the body (Cushing syndrome and Marfan syndrome).
  • Side effects from medications or use of topical corticosteroids.

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Factors That Determine Whether Stretch Marks Will Fade or Stay Visible  

Time Frame of Weight Loss 

Rapid weight loss does not cause stretch marks.

The stretch marks were formed when the body first gained weight.

However, losing weight can make stretch marks more visible. 

Losing up to two pounds weekly is recommended as a safe, realistic, and healthy rate for most adults by the Academy of Nutrition and Dietetics (AND). 

Amount of Weight Lost 

A realistic weight loss goal is to lose up to 10% of your baseline body weight per the AND and aim for up to two pounds per week. 

This weight loss rate helps preserve your muscles and, with adequate protein and physical activity, can improve muscle strength.

Stronger muscles help skin tissues to tighten. 

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Genetics  

Genetics plays a role in the development of stretch marks.

If people in your family develop stretch marks, you’re more likely to develop them as well.  

Conditions requiring prolonged steroid use (Cushing Syndrome) or other diseases with higher levels of corticosteroids within the body are associated with stretch mark development. 

Stretch marks are more common in women than men, and they’re more visible on darker-skinned individuals. 

Skin Elasticity

Skin with high elasticity is associated with less visible stretch marks.

‍Small studies treating stretch marks with a procedure called carboxytherapy tells the body to repair that area and improve skin elasticity by 58%.

Hydration Levels 

Adequate hydration affects all parts of the body, including your skin.

Adequate fluid intake is essential to normal healthy skin.

Even slight dehydration can negatively impact your skin.

Sun Exposure

Excess or unprotected sun exposure can cause skin sagging and thin skin due to the loss of structure and collagen.

Damaged skin is more prone to further stress, like stretch marks. 

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Tips for Managing and Reducing Stretch Marks

Stay Hydrated and Moisturized 

Drinking adequate water and moisturizing your skin can help preserve its elasticity.

Opt for unsweetened beverages such as water, carbonated water, and unsweetened tea to replenish fluid levels and prevent excess sugar intake. 

Incorporate Strength Training to Build Muscle 

As mentioned, incorporating physical activity, like weight lifting or strength building, can improve muscle strength.

Try bodyweight exercises or include weights to gain muscle strength.

Stronger muscles tighten skin tissues. 

Exfoliate Regularly  

Exfoliation is a process of removing dead skin cells from the outer layer.

Removing dead skin can allow for healthy new skin to be more visible. 

The American Academy of Dermatology Association recommends proper exfoliation to prevent damage to the skin.

They provide five tips to do this safely and how to assess your skin type. 

Use Stretch Mark Creams or Oils 

Overall, research on the effectiveness of stretch mark creams or oils indicates a slight improvement.

Results show some improvement of stretch marks but require continual application, leading to lower compliance over time. 

Tretinoin cream applied to new stretch marks that are still red (striae rubrae) is helpful compared to no treatment over six months. 

Consult with a Dermatologist for Treatment Options

A dermatologist is a doctor who specializes in conditions that affect the skin, hair, and nails.

A dermatologist can help you determine the best treatments to help you with your stretch marks.

Treatments could include medications or skin treatments, but they will likely not be covered by insurance (or considered out-of-pocket expenses). 

Embracing Your Body and Accepting Stretch Marks

Your skin is the largest organ in your body and is a powerful protective barrier for your other organs.

Your skin stretches amazingly well in response to phases of growth throughout your entire life.

Sometimes, the rapid growth can lead to stretch marks. 

Consider embracing these stretch marks as tokens to remind you of a past season of change or growth.

They can serve as reminders of how you were able to adapt and overcome throughout different periods in your life. 

Takeaway

Stretch marks affect up to 90% of people.

Most factors that predispose you to getting stretch marks are out of your control. 

Taking care of your skin and body can help reduce the appearance of stretch marks. 

If stretch marks are bothersome to you, seeking out help from a dermatologist can provide you with the most effective results. 

Most people have stretch marks, but some accept and embrace their stretch marks as a normal part of life. 

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How a Dietitian Can Help

A weight loss registered dietitian nutritionist can help you achieve a healthy rate of weight loss from sustainable lifestyle changes.

These changes should help you lose weight but, more importantly, impact your overall health and quality of life. 

Find a dietitian near you that accepts insurance using Nourish.

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Frequently Asked Questions

Do stretch marks look worse when you lose weight?

Many factors (history of weight gain, rate of weight loss, amount of weight lost, genetics, skin elasticity, and skin color) help determine if stretch marks will look worse after losing weight.

When losing weight, try some of the tips above to help stretch marks look their best.

Remember, it takes time for stretch marks to fade.

How long do stretch marks take to fade?

It takes time for stretch marks to fade; expect six to twelve months.

Do stretch marks happen from gaining or losing weight?

Stretch marks happen from gaining weight rapidly.

The stretch marks may become more visible as you lose weight. Incorporating physical activity, including strength building, during weight loss can help improve muscle and skin tightness.

References

View all references
  1. Oakley, A. M., & Patel, B. C. (2023). Stretch Marks. In StatPearls. StatPearls Publishing.
  2. Al-Shandawely, A. A., El-Dawla, R. E., Yassin, F. E. S. E., & Aboeldahab, S. (2021). An update in the etiopathogenesis of striae distensae: A review article. Sohag Medical Journal, 25(3), 39–44.
  3. Lokhande, A. J., & Mysore, V. (2019). Striae Distensae Treatment Review and Update. Indian dermatology online journal, 10(4), 380–395. 
  4. Evidence Analysis Library. (n.d.). Academy of Nutrition and Dietetics. https://www.andeal.org/template.cfm?template=guide_summary&key=4325
  5. Cava, E., Yeat, N. C., & Mittendorfer, B. (2017). Preserving Healthy Muscle during Weight Loss. Advances in nutrition (Bethesda, Md.), 8(3), 511–519.
  6. Podgórna, K., Kołodziejczak, A., & Rotsztejn, H. (2018). Cutometric assessment of elasticity of skin with striae distensae following carboxytherapy. Journal of cosmetic dermatology, 17(6), 1170–1174.
  7. Verdier-Sévrain, S., & Bonté, F. (2007). Skin hydration: a review on its molecular mechanisms. Journal of cosmetic dermatology, 6(2), 75–82.
  8. Chaudhary, M., Khan, A., & Gupta, M. (2020). Skin Ageing: Pathophysiology and Current Market Treatment Approaches. Current aging science, 13(1), 22–30.
  9. How to safely exfoliate at home. (n.d.). https://www.aad.org/public/everyday-care/skin-care-secrets/routine/safely-exfoliate-at-home
  10. Bai, H., & Graham, C. (2020). Introduction: Skin. The Yale Journal of Biology and Medicine, 93(1), 1–2.

Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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