What Is Stretch Marks?
Who Gets Stretch Marks?
Stretch marks are extremely common, with research estimating they affect up to 80% of the general population at some point:
- Pregnant women Rapid abdominal expansion during pregnancy is one of the most common triggers, with stretch marks developing on the belly, breasts, and hips during the second and third trimesters.
- Teenagers going through growth spurts Rapid vertical growth during puberty can outpace the skin’s ability to stretch, producing stretch marks on the back, thighs, hips, and knees.
- Individuals who gain or lose weight quickly Sudden body composition changes whether from weight gain, rapid muscle building, or significant weight loss stress the skin’s elastic fibres beyond their capacity.
- People using corticosteroid medications Long-term topical or oral corticosteroid use thins the skin and reduces collagen production, making stretch mark formation far more likely.
- Those with a genetic predisposition Skin elasticity, collagen quality, and stretch mark susceptibility are all influenced by genetics, meaning some people are inherently more prone than others.
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Common Causes of Stretch Marks
- Rapid skin stretching Whether from pregnancy, growth spurts, or weight changes, any period of fast physical expansion can overwhelm the dermis's capacity to maintain its structural integrity.
- Hormonal fluctuations Elevated cortisol levels from stress, pregnancy, puberty, or medication weaken elastic fibres in the skin, reducing their ability to withstand stretching forces.
- Corticosteroid use Both topical and systemic corticosteroids directly suppress collagen synthesis in the dermis, making the skin thinner, more fragile, and highly susceptible to stretch mark formation.
- Genetic factors Inherited variations in collagen composition, elastin quality, and skin thickness determine how resistant your skin is to stretch mark development under mechanical stress.
- Reduced collagen and elastin production Age-related or condition-related decreases in structural protein production make the dermis less resilient and more prone to permanent tearing when stretched.
- Underlying medical conditions Conditions like Cushing's syndrome, Marfan syndrome, and Ehlers-Danlos syndrome directly affect connective tissue integrity and are associated with increased stretch mark formation.