Stretch Marks
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Stretch Marks Reduction & Removal

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{ Stretch Marks Reduction & Removal }

What are Stretch Marks? What causes Stretch Marks?

Stretch mark patients will start their body perfecting journey with a complete consultation which will explain stretch marks, what they are and how to treat them. Stretch marks are characterized by striae, which initially appear red but gradually may fade to a silvery white colour. Commonly found around the breasts, hips, thighs, arms, abdomen buttocks and back, these stretch marks can be difficult to conceal. Stretch marks occur when the body’s elastic fibres become damaged and “tear”. Stretch marks are not only due to the skin stretching, it can arise from hormonal changes such as pregnancy and puberty. Other causes can be rapid weight gain and muscle building. SpaMedica has several options to treat and reduce the visibility of your stretch marks.

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What is Stretch Mark Reduction and Removal?

Stretch marks are areas of skin that have been stretched beyond the elastic recoil potential of the skin. This stretching, or tensile load, results in micro-tears in the fibrous structure of the skin.  The structures that undergo micro-tears are collagen, elastin and ground substances.  The most common causes of stretch marks are expansion or rapid growth of the skin.  The most common causes for expansion or rapid growth of skin are pregnancy, weight loss, weight gain, pubertal growth spurts, growth of breast tissue and even from weight training with expansion of the underlying muscle (made worse by anabolic steroid use).

Before and after photos of a Toronto stretch mark patient

Figure 1.   An example of a Toronto Stretch Mark patient,  with micro tears on her abdominal skin after pregnancy. The stretch marks appear white or silvery, shinny and wrinkles and lack the normal appearance of the surrounding youthful skin. The patient underwent a SpaMedica stretch mark reduction program with multiple stretch mark reduction technologies to achieve a noticeable improvement.

Once the skin is overstretched, the micro-tears and disruptions occur in the collagen and elastin and a microscopic inflammatory response is created.  The inflammatory response leads to the increased presence of blood vessels and a process called neovascularization or new blood vessel formation.  This leads to one of the two types of stretch marks, which are red or purple stretch marks.  The second type of stretch marks is white, silvery or greyish, atrophic stretch marks.

Purple or red stretch marks are usually early stretch marks that occur during the expansion phase of the skin and during the early phase of the disruption and micro-tears in the collagen and elastin.  The purple or reddish colour is due to the increased presence of blood vessels in the newly-injured skin.  This purplish and reddish discolouration may persist for several months or, rarely, several years after the appearance of the stretch mark. Toronto purple and red stretch mark patients can present to SpaMedica for successful treatment using Lasers that attack blood vessels and vascular structures. SpaMedica Purple stretch mark reduction lasers include, the V-Beam Pulsed Dye laser, IPL Intense pulse Light lasers and the cynergy Pulsed Dye- NdYAG combination laser. By reducing and eliminating the redness the stretch mark looks much less noticeable.

Patients can have stretch marks that are purple or red in colour

Figure 2.  Purple stretch marks have an inflammatory component to the micro-tears to the collagen, elastin and ground substances.  Toronto stretch mark patients with purple stretch marks need to treat the red components of the stretch marks as well as the texture. Toronto purple or red stretch mark patients can achieve very successful stretch mark reduction through the use of SpaMedica Vascular or blood vessel reduction lasers such as the Candela V-Beam Pulsed dye laser, the Cynosure Cynergy Pulsed Dye – NdYAG laser and IPL, or Intense Pulsed Light energy systems. Over several treatments, the redness from the stretch mark is eliminated, greatly reducing the appearance of the stretch mark.

White or silvery stretch marks (atrophic stretch marks) are more mature than the purple and red stretch marks. White stretch marks occur after the blood vessels have faded and the inflammatory response has died down.  In general, the inflammatory response and the stretch mark leading to blood vessels is the body’s attempt to repair the collagen and elastin and the failure to do so results in a permanent whitish, silvery, shiny stretch mark that may be very wide and wrinkly or very thin and wrinkly. White stretch marks are a version of a Hypotrophic scar, which is an injury to the skin which healed without enough collagen, elastin and ground substances and the stretch mark skin looks thin, old, waxy and insubstantial. These older, whiter or silvery stretch marks do not have the same elastic properties of the skin, with decreased amounts of collagen and elastin and can be quite unsightly when positioned next to normal, smooth, untraumatized skin.  Generally, these older, white and silvery stretch marks do not the tan the same as the adjacent normal skin and generally accompany skin laxity.

White or silvery stretch marks on woman's body

Figure 2.  White or silvery stretch marks no longer have blood vessels and inflammation associated with the micro-tears in the skin and the treatment of these stretch marks requires devices (lasers, RF, sub-dermal heating, and bulk heating) that improve the collagen content and repairs the damage to the stretch marks.

SpaMedica and Dr. Mulholland have been at the forefront of pioneering the treatment of stretch marks.  The goal of the treatment is to apply technology and interventions which reduce or remove the red discoloration of the stretch marks and then create new collagen and elastin, smoothening the white, silvery appearance of old stretch marks which is combined with the reduction in the colour of the purple and red in newly-formed stretch marks.

Toronto Stretch Mark patients can be treated with a number of different SpaMedica technologies that can be deployed that result in the reduction of the appearance of stretch marks.  In general, at SpaMedica, Toronto Stretch mark patients will receive a combination of treatments that treat the stretch mark from both underneath and from above with collagen-forming and skin-tightening technology and fractional resurfacing technology. These treatments treat the stretch marks from above, below and inside to get the best possible outcome.  There are also a number of blood vessel reduction and vascular lasers that can be deployed at SpaMedica to reduce the purple and red colour of your stretch marks.

This man has stretch marks on his chest

Figure 3.  Body building can result in stretch marks for hypertrophy of the underlying muscles and stretching the skin. These micro-tears commonly occur in the groove between the pectoralis chest muscle and deltoid shoulder muscle. These body building stretch marks can also be treated and improved, but the use of anabolic steroids, if part of the etiology need to be curtailed.

Toronto stretch mark patients can classify the treatment of stretch marks into by the colour of the stretch mark and the method that the stretch mark is is being treated.

A.  Red or purple stretch marks

The red or purple stretch marks are traumatized and overstretched skin where there is still an inflammatory component and the underlying blood vessels are red or purple in colour are treated with vascular lasers.  SpaMedica is Canada’s largest private laser centre, and the vascular lasers deployed at SpaMedica include a wide range of options to give Toronto Stretch Mark patients the best possible reduction in the red/purple colour of your stretch marks.  These lasers include: Perfecta VBeam pulsed dye laser, the Synergy long pulsed Nd:YAG 1064nm  and pulsed dye synergy laser, the Elite Long pulsed NdYAG 1064nm  laser,  as well as many different intense pulsed light (IPL) systems, such as the Palomar Max G, the Lumenis IPL the LUME ONE and TWO, the Sciton BBL and the Inmode Lumecca. The application of these vascular lasers is usually performed once every three to four weeks. Over a series of four to six treatments, generally all the redness from your purple or red stretch marks can be removed.  By treating the stretch mark when it is red or purple, we will also stimulate new collagen and elastin production, which will help minimize the progression of a purple or red stretch mark into a white, or atrophic, stretch mark.

Max G laser and light device used on patient's face

Figure 5.  The Max G is one of the many vascular laser and light based devices used at SpaMedica to treat Toronto Stretch Mark patients whose stretch marks are RED and PURPLE in colourThe skin has red and brown colours on the surface

A. Skin before with red (vascular) and brown (melanin pigment) at the surface

The IPL laser and light attacks these brown and red colours

B.  The IPL and laser light attacks the red and brow colours to fade them

Reduction of red purple and brown stretch marks reduces after treatments

C. The red and purple discolouration in the stretch marks disappears and reduces significantly over several treatments.

Figure 6 A-C.  Laser energy and IPL Light penetrates through the skin and is attracted to the brown discoloration in the skin as well as blood vessels, such as those causing the red and purple colored stretch marks.  The IPL and laser light energy binds to the hemoglobin, inside the microscopic red blood cells inside the stretch marks and then that binding energy creates heat that coagulates and removes the blood vessels. That fades the pink and purple stretch mark colour.

The treatment of red or purple stretch marks involves first the treatment of the red or purple discoloration.  The red and purple colours are blood vessels at the base of the torn dermal collagen fibers, elastin fibres and ground substance tissues. The SpaMedica blood vessel lasers and Intense Pulsed Light devices are used once every 2-3 weeks for a series of 3-6 sessions. A thin layer of ultrasound gel is place on the skin and the pink, purple vessels are treated with the flash of laser and light. The treatments are comfortable for Toronto Stretch Marks patients and are performed as an outpatient treatment under topical anesthesia. After each treatment, the purple, red or pink stretch marks may appear darker in colour for 1-2 weeks before they start fading (as the treatment will often induce a bruise).

This patient reduced their stretch marks through IPL treatments

Figure 7. Toronto Red and Purple stretch mark reduction patients under go SpaMedica  Blood vessel reduction lasers treatments and Intense Pulsed Light devices which reduce significantly or even eliminate the red, purple or pink color of stretch marks.

The use of Blood vessel laser and Intense Pulsed Light devices can reduce significantly or even eliminate the red, purple or pink color of stretch marks.

These stretch marks have been reduced

Figure 8.  Some Toronto Stretch Mark patients have brown or darker discoloration to their stretch marks, rather than the typical purple, red or pink discolored stretch marks. The multiple SpaMedica Laser and IPL devices can also fade brown discolouration from pigmented stretch marks.

B.  While, silvery, old, mature stretch marks

The white, shiny and wrinkly old stretch marks, also called Hypotrophic scars, are treated using two revolutionary approaches at SpaMedica. The top down and bottom up “sandwich” treatment of stretch marks has been pioneered by Dr. Mulholland.

A. The “top down” approach uses fractional resurfacing lasers and radiofrequency devices, including the Fraxel®  CO2 laser, erbium fractional lasers, the fractional radiofrequency resurfacing Fractora, InFini RF, IntensiF, INTRAcel and eMatrix.  These fractional ablative lasers create small columns of injured tissue from the top right through into the stretch mark.  The fractional nature of these devices leaves some of the stretch mark untreated between the columns of fractional injury, allowing for a reservoir of tissue to produce new collagen and new elastin to smoothen the appearance of the wrinkly, smooth, white stretch mark.  Toronto Stretch Mark patients can expect a series of these fractional ablative laser and radiofrequency device treatments is required once every four to six weeks.

The Fractora helps improve the acne scar's texture

Figure 9.  Toronto Stretch Mark removal patients under go “top down” Fractional lasers and fractional radiofrequency devices, which create a proportional thermal injury in the skin of the stretch mark that then must heal with new collagen, elastin and ground substances from the surrounded un-damaged skin.  This new collagen, elastin and ground substances smoothen the top down appearance of the thin, damaged stretch mark.

Toronto stretch mark patients will receive from SpaMedica patients the widest array of Fraxel-like fractional Co2 laser (carbon dioxide) fractional erbium lasers and fractional radiofrequency devices to ensure you get the best possible resolution in the appearance of your stretch marks. By combining these different fractional laser and radiofrequency ablative devices during your SpaMedica stretch mark treatment program, Toronto Plastic Surgeon, Dr. Stephen Mulholland can ensure you receive the best possible improvement in the appearance of your stretch marks.

Devices such as the Fractora can spare superficial damage to the skin for stretch mark patients

Figure 9. Silicon coated RF ablative fractional needles, such as in the Fractora and the Intracel or the Intensive RF device can spare the epidermal surface and provide Toronto Stretch Mark patients a deep fractional collagen treatment.

Treatments to reduce the apperance of stretch marks

Figure 10.  At SpaMedica, Toronto Plastic Surgeon, Dr. Mulholland has pioneered the use of a wide array of fractional laser and RF devices that can treat various depths of the dermis to optimize the collage production at all levels of the white, flat, damaged stretch mark skin.

One of the fractional technologies that Dr. Mulholland has pioneered in the treatment of stretch marks has been the silicone coated radiofrequency needles. The silicon coated RF needles are able to penetrate the surface of the stretch mark and, without surface thermal injury can deliver a very deep fractional ablation. This results in optimal collagen, elastin and ground substances deeper in the stretch marks without over heating the surface of the stretch mark skin. If the skin is overheated, this could result in even whiter discolouration of the already white stretch mark.  Dr. Mulholland will often deploy a superficial fractional device to improvement surface texture of the stretch mark and then, using coated technology, deliver strong ablative treatments to smoothen and tighten the stretch mark from its depths while protecting the delicate pigment on the surface.

A device that provides deep collagen improvement in stretch marks

Figure 11. Intracel is another fractional coated bipolar radiofrequency, which like the Intensif and Infini Fractional RF systems provide deep collagen improvement in the stretch mark and more collagen and elastin.

eMatrix and Matrix RF

Figure 12.  The ematrix and Matrix RF are other fractional radiofrequency resurfacing devices that Toronto Plastic Surgeon will use on Toronto stretch mark patients to provide a gentle fractional ablation and sublation for texture and tightening improvement in stretch marks of patients of all skin types.

Dr. Mulholland, a Toronto Plastic Surgeon, also deploys some of the best fractional infrared “non-ablative” lasers for the treatment of stretch marks.  The non-ablative lasers, unlike the Carbon Dioxide fractional lasers and fractional RF needle resurfacing devices do not “burn a hole” in the surface of the skin. Rather, they send a micro thermal fractional beam into the skin, resulting in a “thermal column” that will help stimulate new collagen, elastin and ground substances without the downtime of the ablative devices. These non-ablative lasers, like the Fraxel Renew, Clear and Brilliant, the Lux 1540 and the Matrix IR can be used on Toronto Stretch mark patients with dark skin (where ablative lasers may lighten the surrounding skin) or patients with lighter skin tones that do no want any downtime.

Infrared fractional lasers

Figure 13.  The Infrared Fractional lasers, are non-ablative, and create fractional micro-thermal columns, rather than ablation and vaporization of tissue, to stimulate new collagen and elastin. The Palomar Lux 1540, Fraxel Renew, Clear and Brilliant and Matrix IR are all the various fractional non-ablative lasers that Toronto Plastic Surgeon, Dr. Stephen Mulholland may use in treating Toronto Stretch mark patients.

New collagen in the stretch marks is produced

Figure 14.  The Fractional non-ablative lasers create fractional, or proportional micro-thermal injuries with denaturation of the collagen, rather than the ablation and vaporization of carbon dioxide and erbium ablative lasers. These micro-thermal columns produce new collagen in the stretch marks but produces very little down time and can be used on darker skin Toronto Stretch Mark patients.

One of the most exciting innovations in the “top down” SpaMedica stretch mark treatments is the Enerjet. The Enerjet can propel solubilized soft tissue fillers, such as Restylane and Juvederm across the skin and distribute it evenly within the stretch mark and just under the stretch marks to make them smoother and tighter.  The Enerjet creates a micro-infusion and propulsive mesotherapy into the stretch marks without a needle.  The Enerjet uses a propulsive liquid infuse with soft tissue filler such as Restylane and Juvederm to migrate the product throughout the depths of the stretch mark far more evenly than could ever be done with a needle without pain or discomfort. This “needleless filler, needleless Restylane or Juvederm” approach has added a whole new dimension to the treatments of Toronto Stretch mark patients.

Enerjet uses products like Restylane and Juvederm

Figure 15. The Enerjet uses propulsive kinetic solubilized products such as Restylane and Juvederm and propels under gentle high pressure directly into and through the stretch marks without the use of a needle and much more evenly than could ever be done before. The Enerjet has been a tremendous  additional in the ability to reduce the appearance of stretch marks by facilitating the introduction of the fillers and bio-stimulation of the barotrauma more superficially and accurately that hand injections can ever do.

b. The “bottom up approach”: Toronto Stretch Mark patients can also benefit from Dr. Mulholland’s pioneering work on a “bottom up: approach to the treatment of stretch marks”.  In combination with this “top down” is a “bottom up” approach at SpaMedica using under-the-skin heating technologies, such as the FaceTite, Precision TX and ThermiRF and ThermiTite as well as subdermal heating with a SmartLipo™ laser™. These devices, which are radiofrequency or laser devices, heat the skin from underneath, or a “bottom up” thermal stimulation, resulting in new collagen and elastin and tightening of the otherwise lax-appearing stretch mark.  These “bottom up” heating devices provide a non-excisional, non-surgical lift effect on the stretch marked skin without having to undergo the knife, or a surgical excision. This “top down” and “bottom up” approach to the stretch mark gives the best possible improvement that one can achieve without any excisional surgery.

Subdermal devices help tighten skin

A.  Subdermal heating devices such as FaceTite (above) and ThermiRF radiofrequency systems, or Pricision TX SmartLipo laser heating, heat and thermally stimulate the tissue just under the skin providing a tightening effect.Facetite effects results in a thickened and tightened skin

B. After heating the sub-dermal stretch mark skin, it results in new remodeling skin and dermis, providing a thickening and tightening effect, which improves the appearance of stretch marks.

Facetite and Fractora

C. Toronto Stretch Mark patients who undergo the SpaMedica combination treatments of “top down” and “bottom up” combo treatments with total dermal collagen, elastin and ground substance production and stretch mark reduction or elimination. Toronto Stretch Mark patients treated at SpaMedica receive this combination of “top down” and “bottom up” collagen stimulation treatments for the best possible stretch mark improvement.

Figure 16. Toronto Stretch Mark patients treated at SpaMedica receive this combination of “top down” and “bottom up” collagen stimulation treatments for the best possible stretch mark improvement.

Of course, excisional surgery is also possible for some stretch marks such as those in the lower abdomen. These stretch marks can be removed through a very small mini-tummy tuck-type approach.

How are the stretch mark reduction and removal procedures performed?

In general, the SpaMedica “top down” fractional laser and radiofrequency devices, such as Enerjet are performed using topical anesthetic cream.  The treatment involves the applicator being applied over the skin of the stretch marks and blending into the uninjured skin.  The treatment takes generally between 30 and 45 minutes, depending on the size and number of areas of the stretch marks that are being treated.

The “bottom up” approach to stretch mark treatment, using the radiofrequency under-the-skin heating FaceTite, ThermiRF and/or the under-the-skin heating laser SmartLipo™ Precision TX device, is performed under local anesthesia and is performed by Dr. Mulholland personally.  The treatment, again, takes between 30 and 60 minutes and generally one to two treatments, separated by three to four months is required.

Who is a candidate for stretch mark reduction and removal?

Good candidates for stretch mark treatment are realistic Toronto Stretch Mark patients who understand that without an excisional procedure, the non-excisional fractional lasers and fractional radiofrequency devices and under-the-skin heating devices give the best possible improvement in stretch marks without complete removal.  Candidates that have selected the non-excisional approach to stretch mark reduction or removal generally want the best possible improvement they can get without the scars associated with excisional surgery, such as mini-tummy tucks or skin excisions.

Contraindications would include those individuals who may be pregnant at the time of surgery; individuals with inflammatory lesions or infective lesions; skin cancers in the areas of treatment; and those individuals with very dark skin who have a history of keloid scar formation.

What type of anesthetic is used for my stretch marks reduction and removal?

The “top down” approach treatment of white, silvery stretch marks and the vascular lasers for the treatment of red or purple stretch marks are performed under local anesthesia alone.  The “bottom up” approach to thermal stimulation with radiofrequency FaceTite™, or ThermiRF or under-the-skin laser SmartLipo devices are performed under local anesthesia.

Is stretch mark reduction and removal painful?

The treatment of stretch marks, whether “top down” or “bottom up” is very tolerable.  Topical anesthesia makes the “top down” treatment of red and white stretch marks with laser and fractional devices comfortable. The “bottom up” approach, performed under local anesthesia, is also very comfortable once the local anesthetic has been instilled.

How long does the stretch mark reduction procedure and program take?

Each stretch mark treatment, whether “top down” or “bottom up” takes approximately 45 to 60 minutes, depending on the size of the stretch mark region and number of regions treated.  Generally, the program itself requires three to six months to complete, as each treatment is performed every four to six weeks and a series of four to six treatments are required.

How long is the recovery following stretch mark reduction and removal?

There is little to no recovery following stretch mark removal and reduction treatment.  There is some mild, burning discomfort and bruising following the treatment but, in general, most stretch marks are in easy-to-hide areas with clothing and the mild redness and swelling subsides over one to two weeks.  The pinkness following the treatment with fractional radiofrequency devices and fractional lasers can take four to six weeks to completely disappear. Some patients may be prone to hyperpigmentation following this fractional treatment and intense pulsed light treatments and topical bleaching creams may be required to fade the pigmentation. Most patients can return to activities of daily living the following day.  High-impact aerobic activities may take one to two weeks before returning to these activities, depending on the location and number of stretch mark regions treated.  In general, the redness and swelling will take four to six weeks to completely subside and before bathing wear that does not cover the region should be worn.

What kind of results can I expect from my non-excisional stretch mark reduction treatments?

The non-excisional results of your stretch mark reduction and removal, with the use of fractional radiofrequency and fractional laser devices and under-the-skin radiofrequency and laser heating devices can be quite noticeable.  Up until the last several years, there had been no treatment that was effective for stretch marks, but with these new approaches to combination treatment, both treating from above and below the stretch marks, patients can see 30% to 75% improvement in their red, white, or silvery mature stretch marks after a series of treatments.

The left side of abdomen has been treated with SpaMedica stretch mark reduction techniques

Figure 17 A.    The right side of the abdomen showing stretch marks. The left side of the abdomen was treated with the SpaMedica techniques described above and one can see that the treated side showed significant improvements.

Patient treated with SpaMedica stretch mark reduction techniques

Figure 17 B. Close up of the Stretch mark improvements.

For those individuals with low abdominal stretch marks or stretch marks of the upper inner thigh or upper inner arm, excisional techniques can completely remove the stretch marks.  However, with excisional techniques a patient is then exchanging a small scar for the removal of the stretch marks and the scar itself may need to be treated with vascular reduction lasers to minimize its appearance or remove any discolouration in the scar.

Occasionally, some patients with extensive stretch marks require excisional treatments in combination with non-surgical treatments beyond the area where an excision can be performed. This is an option for patients with more extensive stretch mark concerns.

What are patients saying about their stretch mark reduction and removal procedure?

Properly-selected Toronto Stretch Mark patients with realistic expectations are quite happy with their SpaMedica stretch mark reduction and removal programs.  They realize that there is no possible way through diet and exercise or normal means to actually improve the appearance of their stretch marks and these high-tech, new combination treatments, treating stretch marks from above and below, both purple and white, silvery stretch marks is a major advancement in the treatment of these unattractive, overstretched areas of skin.

What if you have darker skin, can you treat your stretch marks?

If you are a Toronto Stretch Mark patient who has a darker skin type, you would typically not be a candidate for some of the more aggressive non-ablative fractional lasers. However, at SpaMedica, Dr. Mulholland has acquired and developed many fractional devices and under the skin “bottom up” thermal devices that can safely and effectively treat the stretch marks of darker skin patients

Patient with darker skin treated their stretch marks

Figure 18.  An example of a darker skin patient with Stretch Marks that can be treated by the SpaMedica Toronto Stretch mark program.  Non ablative devices such as the Lux 1540, the ematrix and the Fractora silicon coated devices, as well as the sub-dermal heating systems such as the Fractora, ThermiRF and Smartlipo Precision Tx.

How long will the results last following my stretch mark reduction and removal program?

The improvement in the appearance of your stretch marks through the production of new collagen and elastin should last one or more years following treatment.  However, the normal aging process of skin is one of degeneration of collagen and elastin. In order to maintain and prolong the improved appearance of your stretch marks indefinitely, a simple maintenance program is generally recommended.

For purple and red stretch marks, if the goal is reduction of the red and purple colour, once that has been achieved this is a permanent improvement and no subsequent maintenance treatment is required.

Are there any maintenance treatments required following my stretch mark reduction program?

For the mature, white and silvery stretch marks, improvements in the appearance of these stretch marks through fractional radiofrequency and fractional laser devices and/or under-the-skin heating devices, there will be some degeneration in the new collagen and elastin with age and time. Normal degenerative enzymes continue to break down normal skin and new collagen and elastin that was produced in your stretch marks.  Over time, the stretch marks will again progress to look withered, old and unattractive.  It is therefore recommended that a simple maintenance treatment with a fractional radiofrequency or laser device be performed once every four to six months.  Alternatively and additionally, non invasive RF (radiofrequency) devices, such as Venus Freeze, FORMA, Exilis, Pelleve, or Thermage can be used to maintain the collagen production and the smooth appearance of the treated stretch marks. A simple “protect your investment” treatment is recommended once every 2-3 months, with no downtime or recovery and will protect your collagen and tightening stretch marks effects.These devices are bulk skin heating technologies, that are moved gently and painlessly over the skin heating it to 43-45 degrees Celsius and sustaining this heat for 10-20 minutes. This can be a relatively mild to moderate treatment with redness and down time being generally measured in one week or less. Treatment with the bulk heating RF, non ablative devices once a week for 4-6 weeks can result in 20% more collagen and a “protect your  investment” result for your stretch marks.

FORMA is one of the RF devices used in acne scar reduction treatments.

Figure 19.  Following the treatment of your stretch marks, there are maintenance “protect your investment” treatments with non-invasive RF and fractional devices such as the FORMA, Thermage, Venus Freeze, Exilis or Pelleve, that will continue to keep the collagen, elastin and ground substances active in keeping your stretch mark skin tight and smoother.

How much will my stretch mark reduction and removal program cost?

The cost of the non-surgical, non-excisional stretch mark removal and reduction program depends on the size of the area treated and the number of treatments required.  In general, most stretch mark reduction treatments cost approximately $250-$500 per treatment or more to perform and a series of four to six are required over four to six months.

Why choose SpaMedica and Dr. Mulholland for my stretch mark reduction and removal program?

Dr. Mulholland and SpaMedica continue to be at the forefront of pioneering new technologies that improve the appearance of stretch marks.  Toronto Stretch Mark patients will benefit from the Vascular laser technology developed by Dr. Mulholland which includes intense pulsed light and combination pulsed Nd:YAG technology.  In addition, Dr. Mulholland has helped pioneer radiofrequency fractional devices and subdermal, under-the-skin heating devices, all of which have contributed significantly to our ability to non-excisionally treat stretch marks.  In selecting SpaMedica, you are getting the best possible expertise and technology used in combination to get the best possible reduction in the appearance of your stretch marks.

Excisional treatments at SpaMedica will be performed personally by Dr. Mulholland, one of Canada’s foremost plastic surgeons. His experience and skill will optimize the excisional removal of your stretch marks.

What treatment options do I have for my stretch marks?

Patients suffering from stretch marks can be treated with a variety of options at SpaMedica. The goal of treating stretch marks is to reduce the visible lesion and to help maintain a healthy skin tissue to prevent further lesions from appearing. By resurfacing the skin, we can provide a firmer appearance to the skin. The SpaMedica PXL treatment works by creating small dermal injuries to the area, thus forcing the skin to produce new collagen in the area and form new skin cells. The result is less apparent stretch marks. SpaMedica’s C02 skin resurfacing can provide complete smoothing of the skin and help stimulate new collagen formation in the skin. There is down time with SpaMedica C02 skin resurfacing however, there are less invasive laser treatments that can provide smoothing, increase collagen production and help the skin appear more taught. SpaMedica fractional laser treatments help resurface skin imperfections and aids your skin with the production of new collagen, leaving it plumper and more firm. FotoFacial treatments can reduce the colour in the lesions, making them less apparent. Your SpaMedica treatment professional will recommend medical grade skin care to further enhance your treatment results for your stretch marks.

How can I prevent my stretch marks from coming back?

Patients can help to keep their condition under control with regular SpaMedica maintenance programs, maintaining a healthy weight and keeping the skin healthy and well hydrated. Fractional treatments and PXL treatments can be performed through out the year when necessary to keep the stretch marks under control and to continue to slimulate new collagen formation. Bi-yearly Zerona laser slimming treatments will help assist you in keeping and maintaining a healthy weight.

SpaMedica has been serving Toronto stretch mark patients since 1997. SpaMedica is Toronto’s and Canada’s oldest, most recognized and reputable laser skin care and cosmetic dermatology centers. Patients also have the advantage of seeing one of SpaMedica’s experienced cosmetic dermatologists for some difficult to treat skin conditions.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto stretch mark reduction patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I schedule a stretch mark reduction and removal program?

To schedule a stretch mark reduction and removal program, simply call 877-712-8367 or fill out the online consultation request form and a SpaMedica representative will respond promptly.  Call now to schedule a consultation and begin your stretch mark removal program today.


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-712-8367