By Anubha

Motherhood is difficult to attain as pregnancy is usually accompanied with unpleasantries of nausea, fatigue, backaches and frequent urination. Another distinct possibility is development of stretch marks. About 90 percent women acquire stretch marks during the second half of pregnancy.
What are 'Stretch Marks'?
Stretch marks are fine lines on the body, which are reddish or purplish in color in its early stages and become devoid of color or hypopigmented on maturity. They are considered to be the most common types of skin lesions. Medically known by different names as striae distensae, striae atrophicans, striae rubra and striae alba, stretch marks cause no significant medical problems but certainly arouse cosmetic concerns for some.
Causes of 'Stretch Marks'
In the course of pregnancy, expectant mothers rapidly gain weight and their abdomen also distends to accommodate the growing baby. These changes induce excessive stretching of skin. Although, skin is fairly elastic, but ovestretching weakens the underlying support structure that is dermis, by damaging its collagen fibers and proteins. Shattering of collagen leads to dilation of blood vessels and this results in red or purple colored early stretch marks. These colored scars mature into white or hypopigmented stretch marks when either the pigment-producing melanocytes are destroyed or the melanin pigment is obscured due to inflammation and collagen re-modeling.
Studies have revealed that increased secretion of ‘Glucocorticoid’ hormones by the adrenal glands during pregnancy prevent the fibroblasts from forming collagen and elastin fibers. These are required to keep the skin taut. Due to the lack of this supportive material, whenever the skin is stretched, the dermis easily breaks down to create a stretch mark. Besides glucocorticoids, it is hypothesized that other hormones such as estrogen and relaxin may also play a role.
Other factors, which are responsible for the development of stretch marks, are as follows:
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Genetic History - Tendency to acquire stretch marks may be inherited.
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Ethnicity/ Skin tone - Fair-skinned women are more susceptible.
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Nutritional History - A sensible diet helps the skin to stretch
better.
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Skin Conditions - Dryer skin is less elastic than oily skin and
hence more prone to stretch marks.
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The amount of weight gained during pregnancy.
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Treatment of 'Stretch Marks'
Stretch marks are usually a cosmetic problem, but it is always beneficial to get them treated because in rare cases they may ulcerate and tear easily in an accident.
Some remedies for stretch marks are as follows:
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Red stretch marks, medically known as striae rubra, provide the
best opportunity to make an impact upon the ultimate demise of stretch
marks. For their treatment Vitamin E oil, which assists in general
skin healing and conditioning, Vitamin A, a good emollient, Tretinion
or Retin-A, which attaches itself to the receptors on the skin cells
and helps to exfoliate the skin and form healthy new cells, Vitamin
C-Serum and cocoa butter, are found to be effective.
Many physicians are finding IPL approach successful
in reducing the appearance of striae rubra. This non-invasive, gentle
approach uses targeted flashes of light to treat dilated and broken
blood vessels without injuring the surrounding healthy skin. On
an average four to six treatments sessions of 20 minutes produce
natural improvement with excellent long-term results.
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Creams containing Alpha Hydroxyl Acids (AHA) derived from fruit
juices and hence, also called fruit acids, are beneficial for stretch
marks reduction. AHAs remove the top layer of cells, which allow
the healthier cells to come to the surface, thereby causing improvement
in the appearance of stretch marks. This cell regeneration process
also improves skin texture and color.
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Chemical peels are another option for stretch marks treatment.
A peel removes several layers of damaged skin cells, leaving a fresh
skin, which has a more even surface and color. Glycolic acid and
Jessner's peel are well suited for superficial peels, which
reduces pigment and surface dryness. Trichloracetic acid (TCA) is
a common chemical used for medium peels, which produce impressive
improvement in skin texture, but this method is painful and the
treated areas are swollen, red and crusted for the next few days.
A nurse or beauty therapist may perform superficial peels. A dermatologist
or plastic surgeon usually performs deeper peels.
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For older white stretch marks, new N-Lite laser therapy is more
effective. The N-Lite is a non-ablative laser, that is, it does
not burn the skin. It stimulates the fibroblasts to produce collagen
fibers. This therapy continues to improve the appearance of stretch
marks over a period of time ranging from six months after the initial
treatment.
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The 'Endermologic' technique, in which exfoliation
is performed in conjunction with the stretching of the fibers, help
reduce the stretch marks by increasing the blood circulation in
the treatment area by up to 200 percent.
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The new technique 'Microdermabrasion', in which fine
sand is blown across the affected area to gradually remove scarred
or discolored epidermal tissue, is a helpful procedure for reduction
of stubborn older white stretch marks. This technique induces new
collagen formation in the stretch marks and reduces them. Microscopic
studies have also supported the effectiveness of microdermabrasion.
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Prevention of 'Stretch Marks'
To prevent stretch marks from appearing, pregnant women should try to adhere to the following guidelines:
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Expectant mothers should eat a balanced diet
so that the weight gain during pregnancy is within the recommended
range of 25 to 35 pounds.
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They should drink plenty of water and exercise regularly to enhance
blood circulation.
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Intake of Vitamin C, Vitamin E, Zinc and Silica prevents stretch
marks.
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The skin should be liberally and effectively moisturized from
the beginning of first or second trimester through the remaining
pregnancy to the recovery period. Moisturizers contain various vitamins
and oils, which help to enhance collagen production and support
dermis, to keep skin intact despite rigorous stretching.
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Researchers from Biotechnology company, Human Matrix Sciences,
LLC in California and The Hospital for Sick Children in Canada,
have recently discovered a method for predicting whether a particular
woman will develop stretch marks during pregnancy or not. In this
test, the lazy skin cells, which are the cells that do not multiply
or make structurally important proteins at a normal rate, are compared
to cells from a woman with no history of stretch marks. Extensive
studies reveal that all women with stretch marks possess lazy cells.
A tiny skin biopsy can be used to determine the predisposition to
stretch mark formation. This test is important because the current
non-invasive treatments for stretch marks are fairly limited and
surgery is the only effective way for removing them.
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Article written by Anubha.
All opinions expressed are that of the writer.
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