Laser removal of stretch-marks (striae rubrae)

Jun 30, 2025

2 min read

Updated: Oct 13

Early red or pink stretch marks are called striae rubrae. They may appear during growth, pregnancy or changes in weight or muscle size. Treatment can make them less noticeable, but it cannot fully restore the skin's previous structure.

Before and after image of a persons abdomen. On the before image are noticeable red stretch marks that are not visible in the after image following laser treatment — Excellent result in the treatment of stretch marks

How early and mature stretch marks differ

The reddish colour has a vascular component. Stretch marks often appear on the abdomen, thighs, breasts, shoulders and lower back. They usually become paler over time; this mature stage is called striae albae. Inherited factors and endocrine disorders may also contribute to their development.

Stretch marks themselves do not threaten health. If their appearance bothers you, you can discuss correction. Whether to have cosmetic treatment remains your choice.

What the consultation covers

The doctor examines the age, colour, depth and position of the marks, your skin type and other changes such as acne or pigmentation. General and hormonal health are discussed. Dermoscopy, mapping or skin ultrasound are used only when needed.

Removal of striae rubrae on the stomach. Before and after

Choosing a treatment

Vascular and fractional lasers address different features. The doctor weighs possible improvement in redness or texture against the risks and recovery. The list below describes possible laser technologies; combining them is not necessary for everyone.

Fractional non-ablative and ablative lasers (Er:YAG, CO₂),
Vascular lasers (PDL, Nd:YAG),
Picosecond lasers (for texture correction and color evening),
Infrared lasers to stimulate neocollagenesis.

A course may involve 3–8 sessions, 4–6 weeks apart. This is a guide that is adjusted to the skin's condition, tolerability and healing. The need to continue is reviewed during treatment.

Additional methods are sometimes discussed, including PRP, mesotherapy or biorevitalisation, microneedling and medicines. Before adding them to a plan, clarify the purpose, likely benefit and extra risks of each method.

Is there a need to rush treatment?

Early and mature stretch marks need different assessments. An early consultation helps you understand the options, but does not mean a procedure must start immediately. A less painful course, a quick result or prevention of progression to white stretch marks cannot be promised. Mature stretch marks can also be assessed for treatment.

A 2017 systematic review describes vascular lasers reducing redness in early stretch marks. The authors note small studies and varied treatment protocols. No method was shown to be completely effective for everyone. Hague & Bayat, 2017

Risks and recovery

Settings and aftercare are chosen for your skin. Before treatment, discuss the possible adverse effects:

The risks of complications are assessed individually before treatment,
Scarring and pigment changes are possible; their absence cannot be guaranteed,
Temporary redness, swelling, or peeling may occur, but these typically subside within a few days.

Treatment is performed on an outpatient basis. Recovery time depends on the method and the skin's response.

What affects the result

The depth, width and stage of the marks, skin type and healing, and adherence to treatment and aftercare all matter. Photographs show individual examples and cannot promise the same effect for another person.