Not all scars are created equal. Two of the most common—but often confused—types are stretch marks and atrophic scars. While they may look similar at first glance, these scars form in very different ways and require targeted treatments for best results. Whether you’re dealing with post-acne marks or skin changes from weight fluctuations or pregnancy, understanding the difference is the first step toward effective healing.
What Are Stretch Marks?
Stretch marks—also known as striae—form when the skin is stretched too quickly, causing the collagen and elastin fibers to tear. This commonly occurs during periods of rapid growth, such as puberty, pregnancy, bodybuilding, or significant weight changes. Initially, stretch marks may appear red, purple, or dark brown, depending on skin tone, but they typically fade to a silvery or white color over time.
Stretch marks are technically a form of scarring, but they occur deep within the dermis, making them difficult to treat. They’re usually long, narrow streaks that feel slightly indented or textured.
What Are Atrophic Scars?
Atrophic scars are indented scars that form when the skin doesn’t produce enough collagen during the healing process. The result is a sunken or pitted appearance, often seen after severe acne, chickenpox, or minor surgery. Common types include:
- Ice pick scars: Deep and narrow
- Boxcar scars: Wide with sharp edges
- Rolling scars: Shallow with sloping edges
Atrophic scars can be more noticeable with age as skin loses elasticity and volume, making treatment especially important for long-term skin health and appearance.
How to Treat Stretch Marks
1. Silicone Gel (Like Scarfade):
Silicone is clinically proven to help flatten and fade scars, including early stretch marks. Applying Scarfade Gel regularly can reduce discoloration and improve the skin’s texture, especially when used during the early (red or purple) stage of stretch marks.
2. Retinoids:
Prescription retinoid creams, like tretinoin, can boost collagen production and improve the appearance of newer stretch marks. These should be used cautiously and only under medical supervision, especially during pregnancy.
3. Microneedling:
Microneedling involves tiny needles that create controlled micro-injuries in the skin to stimulate collagen growth. It’s effective on older stretch marks and can be combined with topical treatments for enhanced results.
How to Treat Atrophic Scars
1. Scarfade Silicone Gel:
Though atrophic scars are indented, silicone gels can still play a role in reducing redness, smoothing edges, and improving skin tone around the scar, making them less noticeable over time.
2. Chemical Peels and Laser Therapy:
These treatments remove the top layer of skin and stimulate regeneration. Fractional laser resurfacing, in particular, is highly effective for deeper scars like boxcar and rolling scars.
3. Microneedling with PRP (Platelet-Rich Plasma):
For acne and other atrophic scars, microneedling with PRP can help rebuild skin structure by encouraging collagen production where it’s needed most.
Know Your Scar, Heal It Right
Stretch marks and atrophic scars may look alike but require different treatment strategies. The good news? With consistent care and the right products—like Scarfade’s silicone-based scar treatment—you can improve your skin’s appearance and texture over time. Understanding your scar type is the key to giving your skin the healing support it needs.