Pregnancy brings about remarkable physical changes as the body adapts to nurture a growing baby. For many expectant mothers, one of the less welcome transformations can be the appearance of stretch marks, particularly across the abdomen, as skin stretches rapidly. The question of whether it's possible to prevent them, or effectively treat them afterwards, is a common concern.
Can You Really Prevent Stretch Marks?
Laura Mulley, a beauty and wellness editor, found herself navigating this very question during her own pregnancy. At nearly nine months pregnant, she reported successfully avoiding stretch marks on her expanding bump. While acknowledging the significant role of genetics, she also credited a diligent moisturising routine she adopted from the start.
Dr Ahmed El Muntasar, a GP and aesthetics doctor, confirms that while factors like weight gain, growth spurts, and hormones contribute, genetic predisposition is a key factor. Scientifically, stretch marks are scars within the dermis caused by tearing when skin is stretched beyond its capacity. They often start red or purple (striae rubra) before fading to a paler, silvery colour (striae alba).
"There is limited scientific evidence that topical products can completely prevent stretch marks," Dr El Muntasar states. "However, keeping the skin well hydrated and elastic may help reduce risk." He recommends hydrating emollients like shea or cocoa butter, and notes ingredients with supportive evidence include hyaluronic acid, vitamin E, peptides, and Centella asiatica.
The Editor's Tried-and-Tested Product Picks
Moving beyond theory, Laura Mulley put several products to the test throughout her pregnancy. Her curated list includes options favoured by celebrities and trusted skincare brands.
Naturium The Glow Getter Multi-Oil Body Butter (£22): This cream gained attention after being shared by Hailey Bieber among her maternity essentials. Mulley found it a joy to apply, absorbing quickly without a greasy residue while providing lasting hydration. She believes the inclusion of oils contributed to keeping her skin supple.
Sol de Janeiro Beija Flor Elasti-Body Oil (currently £44): This product transformed Mulley's perception of body oils. Unlike heavier formulas, it glided on easily without feeling cloying or slippery, making it suitable for daily use under clothing. Its signature scent was an added bonus.
Naturium Bio-Lipid Body Lotion (£18): For those preferring a lighter texture than a body butter, this lotion is rich in lipids to lock in moisture. It offers a non-greasy feel, though the editor noted the pump dispenses a generous amount.
Neal's Yard Remedies Women's Balance Balm (£35): Ideal for those seeking a spa-like experience, this balm melts from a solid into a rich oil. Enriched with coconut oil and beeswax, it provided long-lasting moisture. The brand claims it is clinically proven to reduce the appearance of existing stretch marks. A minor drawback is it can be less malleable in cooler temperatures.
My Little Coco Baby Mama Hydrating Bump Sheet Mask (£6.25): Acknowledged as a fun pamper product or cute gift, this hydrating sheet mask for the belly works similarly to a facial mask. A note of caution: it delivers a cooling sensation upon application, perhaps better suited for warmer days.
Treating Existing Stretch Marks: What Works?
For those addressing stretch marks that have already appeared, Dr El Muntasar outlines the options. Topical treatments like tretinoin can help newer marks but must be avoided during pregnancy. Other ingredients, including Centella asiatica and hyaluronic acid, may offer modest textural improvement.
However, he emphasises that the most effective results come from in-clinic treatments. "Microneedling is one of the best options, as it stimulates collagen production," he explains. Laser treatments (fractional, erbium YAG, CO₂) and radiofrequency therapies can also significantly improve the appearance of stretch marks by targeting skin texture and promoting tightening.
Ultimately, while genetics play a commanding role, a consistent skincare regimen focused on deep hydration can support the skin's elasticity during pregnancy. For existing concerns, a range of clinical treatments offer proven solutions for improving skin appearance post-pregnancy.
