How to Get Rid of Stretch Marks: The Honest Answer, and What Actually Helps
Mature white stretch marks can't be removed. Here's what the red stage responds to, what's a waste of money, and how to reduce visibility.

You added fifteen kilos in a year and they arrived with the rest of it — pale tracks running down the outside of your chest and across the front of your shoulders, most visible when you raise your arms. Or you grew five inches at fourteen and got them across the lower back before you had any say in it.
They used to be red. Now they're silver, slightly sunken, and they catch overhead light in a way the skin around them doesn't. You notice them every time you change at the gym.
So here's the honest answer, up front: mature white stretch marks are scars, and scars don't go away. No cream removes them. No oil removes them. Lasers and needling can improve their colour and texture, sometimes enough to matter, but the word "remove" doesn't belong in this conversation.
That's the bad news, and it's most of the news. The useful part is what remains — because there's a real treatable window, a real set of levers for visibility, and a much smaller audience for this problem than you think.
Key numbers
- Two stages. Striae rubrae — red or purple, inflammatory, weeks to months old — is the treatable phase. Striae albae — white, silvery, flat or slightly depressed — is mature scar tissue and permanent.
- Dermal, not surface. The damage sits in the dermis: collagen and elastin realigned, elastic fibres fragmented, with a thinned epidermis over the top. Products that work on the surface aren't reaching the problem.
- Rapid change is the cause — fast growth in adolescence, fast muscle gain, fast weight gain or loss. Rate matters more than size.
- They don't tan. Mature stretch marks respond poorly to UV, so a tan darkens the skin around them and widens the contrast rather than hiding them.
- ~100 milliseconds — the exposure a stranger needs to form an impression of a face (Willis & Todorov, 2006). Almost none of those impressions happen with your shirt off.
Why they're permanent, and what that actually means
A stretch mark is a scar from the inside out. Skin stretched faster than the dermis can remodel tears at the collagen level, heals with disorganized fibres, and never regains its original architecture.
That's why the topical logic most products imply — moisturize the surface, restore the skin — misses. The dermis is under the epidermis, and a cream that softens the top layer isn't reaching the layer where the damage lives. It's the same reason a knee scar from twenty years ago is still there no matter what you've rubbed into it.
What changes over time is colour and depth, not existence. The red phase is inflammation and dilated vessels; that resolves. What's left is a pale, slightly atrophic line that sits below the surrounding plane and reads mostly as a difference in how light hits it.
Caveat: "permanent" is not the same as "unchangeable." Clinical treatments genuinely improve appearance in many people. The dishonest part of the industry isn't claiming improvement — it's claiming removal.
The red window is the only real treatment window
If your marks are still red or purple, you have leverage that men with white ones don't. Use it.
| Striae rubrae (red/purple) | Striae albae (white/silver) | |
|---|---|---|
| Age | Weeks to months | Roughly a year and older |
| What's happening | Active inflammation, dilated vessels | Mature, remodelled scar |
| Topical response | Meaningful | Minimal |
| Realistic goal | Reduce severity and final visibility | Reduce contrast and texture |
Two things matter in that window. First, prescription topical retinoids have the strongest evidence among topical options for the red phase — that's a doctor conversation, not a shelf purchase, and they aren't appropriate for everyone. Second, and less glamorous: slow your rate of change. Marks appear when tissue is loaded faster than it can adapt. A slower, steadier bulk produces fewer of them than a fast one, and the same applies to cutting hard.
What doesn't work, and what it costs you
Cocoa butter, almond oil, vitamin E blends and the entire "stretch mark cream" shelf have repeatedly failed to demonstrate meaningful prevention or removal in controlled testing. They moisturize. That's it.
- Oils and butters. Comfortable, harmless, ineffective for the actual problem. If you like using them, use them — just don't count on them.
- "Removal" creams. The before-and-after photos usually compare a red-stage mark to a faded one, which is what happens anyway with time.
- Tanning to hide them. This makes it worse. Mature marks don't tan, so you're darkening everything except the lines you're trying to hide.
- Collagen supplements marketed for skin repair. No good evidence they rebuild an existing scar.
- Aggressive scrubbing or dry brushing. No mechanism, and irritation on thin skin isn't free.
Caveat: the steelman for moisturizing is that well-hydrated, supple skin may tolerate mechanical stress marginally better during a period of rapid growth. Plausible, cheap, low-stakes — just not the same claim as removal.
The contrast game: how to make them less visible
You can't delete the line. You can narrow the gap between the line and everything around it. That's the contrast game, and it's the whole realistic strategy for mature marks.
- Skip the tan. The single biggest own-goal. Less contrast beats darker skin every time here.
- Manage body fat. Marks on a leaner frame sit on a flatter plane and distort less. Body composition also moves the overall read far more than the marks do — see body fat and first impression.
- Test self-tanner on a small patch first. Scar tissue takes it unevenly and can end up more obvious, not less.
- Consider in-clinic options honestly. Fractional lasers, radiofrequency microneedling and professional microneedling can improve colour and texture over multiple sessions. Improvement, not erasure — and worth asking any clinic to say that out loud before you pay. If you're considering needling, read microneedling at home first for why the home version isn't the shortcut here.
- Body hair, left alone, breaks up the visual line on the chest and shoulders. Shaving smooth makes them easier to see.
Who's actually looking
Almost nobody, almost never — and this is the part that matters most.
Stretch marks are visible in a narrow set of contexts: shirtless, close, in overhead light. Nearly every impression you make happens clothed, at conversational distance, in a fraction of a second. Langlois et al. (2000), reviewing 11 meta-analyses, found that raters converge on a whole-object impression rather than running a feature-by-feature inspection. A person seeing you without a shirt is already past the point where a skin texture detail changes anything about how the evening goes.
That doesn't mean the feeling is irrational. Something that appeared on your body without permission and won't leave is a genuinely uncomfortable thing to carry. But there's a difference between disliking them and letting them decide whether you take your shirt off, swim, or get changed in front of people — and the second one costs you far more than the marks ever will. If that line has been crossed for a while, it's worth talking to someone. What actually moves the needle physically is in the most attractive male body type.
The bottom line
If your marks are red, you have a window: see a doctor about a topical retinoid and slow your rate of change. If they're white, the honest goal is reduced contrast, not removal — stay untanned, manage body composition, and consider clinical treatment with realistic expectations.
Everything else on the shelf is moisturizer with a story attached. Buying it isn't a disaster; believing it is, because it burns the six months you could have spent on things that actually move how you look.
For what it's worth, the ranking of what changes a stranger's read of you goes roughly: body composition, grooming, clothing fit, posture — and stretch marks aren't on the list. The free test gives you a perceived-attractiveness read across face, physique and presentation, with no paywall after you upload, which is a faster way to find your real bottleneck than another year of studying your own shoulders in the mirror.
Studies referenced
- Willis, J., & Todorov, A. (2006). First impressions: Making up your mind after a 100-ms exposure to a face. Psychological Science, 17(7), 592–598.
- Langlois, J. H., Kalakanis, L., Rubenstein, A. J., Larson, A., Hallam, M., & Smoot, M. (2000). Maxims or myths of beauty? A meta-analytic and theoretical review. Psychological Bulletin, 126(3), 390–423.
Frequently asked questions
Can stretch marks be removed completely?
No. Mature white stretch marks are scars in the dermis — the collagen and elastin architecture has been permanently reorganized — and nothing removes a scar. Creams, oils, lasers and microneedling can improve texture and colour, sometimes noticeably, but honest treatment aims at making them less visible, not at making them gone. Anyone promising removal is selling you something.
Do stretch marks fade over time on their own?
Yes, substantially. Red or purple marks lose most of their colour over months as the inflammatory phase settles, ending up as pale silvery lines that sit flatter and catch far less light. That fading happens with or without a cream, which is why the before-and-after photos in every stretch mark ad are difficult to interpret.
What actually works on red or purple stretch marks?
The red stage is the only genuinely treatable window, and prescription topical retinoids have the strongest evidence among topical options — that's a conversation with a doctor, not a shelf purchase. Alongside that, slowing your rate of size change (in either direction) removes the mechanical cause. Once the marks turn white, that window has closed.
Do stretch marks actually matter to how attractive you look?
Far less than the mirror suggests. They're only visible shirtless, and first impressions are formed on the whole figure in about a tenth of a second, not on a skin audit. Body composition, posture and fit of clothing move the read far more — the free test gives you a perceived-attractiveness read across face, physique and presentation so you can see what's actually weighted.
