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Stretch marks are purple-red streaky scars that appear in overstretched skin. Around half of all pregnant women will develop stretch marks (striae gravidarum), usually in the third trimester, as the abdominal skin is forced to accommodate the growing uterus. Some pregnant women also develop stretch marks on the breasts, hips, buttocks and thighs. Another common cause of stretch marks is rapid weight gain. Depending on the skin type, fresh stretch marks can be pink, purple, brown or red. Over time, the stretch marks lose their bright colouring and become silvery, shimmering lines. Symptoms The skin is stretched beyond its capacity Structure of the skin The visible layer of skin (epidermis) protects the delicate inner layers. The epidermis is made from several sheets of cells. Epidermal cells born in the bottom sheet push up through the layers to replace old, dead skin cells that are constantly sloughed off the surface. The epidermis also contains melanin, the pigment responsible for skin colour. Beneath the epidermis is the dermis. This deeper layer contains sweat glands, sebaceous glands, hair follicles, blood vessels and nerves. The dermis is made from two types of fibre: elastic fibres (elastin) for suppleness and protein fibres (collagen) for strength. The overstretched dermis Prevention of stretch marks
Treatment of stretch marks Recent American studies found that stretch marks can be reduced with laser treatment and the regular application of creams containing retinoic acid or Retin-A. It must be stressed that retinoic acid should not be applied to the skin during pregnancy. There is currently no information on whether using retinoic acid is safe during breastfeeding. Another approach is to simply wait for the stretch marks to fade by themselves. Other skin changes during pregnancy The skin is affected by the cocktail of pregnancy hormones in many different ways, depending on the individual. Apart from stretch marks, other common skin conditions triggered by pregnancy can include:
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