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Improve neovascularization and blood flow (red color seen via skin transparency will appear pink, close to the natural skin color), improve melanocyte pigment production to darken white stretch marks. Improve collagen synthesis to reduce the wave appearance of old stretch marks.
Old white stretch marks, deep depressed stretch marks, irregular old stretch marks are the main indications. For young pink/red stretch marks, laser treatment is preferred: KTP or pulsed dye laser, one to three sessions, 1 month apart.
It is preferable to start injecting the dermis and when done push the needle further to inject the subcutaneous layers. This appears to be the easiest approach.
Popcorn appearance (inflated stretch marks) for 1 or 2 minutes then erythema.
Follow each stretch mark and inject each 1–2 cm.
No post injection care is required. Sun protection is advisable.
Injecting stretch marks is often painful. Patients describe a burning sensation. Although flow greater than 100 cc/min is recommended, it is sometimes impossible to maintain these values because of the pain. Lowering flows to 70–80 cc/min may make the patient more comfortable.