Can Microneedling Fade Stretch Marks and Hypertrophic Scars?
Written by: Aither
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Published on June 18 2025
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Time to read 8 min
There are tons of treatments for stretch marks and hypertrophic scars, but microneedling for scars is one of the safest and most effective options. Yet, many people go for at-home fixes like bio-oil, cocoa butter, or retinol creams, only to end up disappointed.
So, why not microneedling? A lot of people think it's just for the face, but it works anywhere on your body. The best part? You don't need expensive appointments; it's available for at-home use. Learn why it's time to upgrade your skincare routine
The Difference Between Stretch Marks and Hypertrophic Scars
These two skin concerns don't usually overlap, and most people can tell them apart. They won't harm your health, but they can definitely take a toll on your confidence
Criteria | Stretch Marks | Hypertrophic Scars |
|---|---|---|
Cause | Skin stretching from growth, pregnancy, weight gain, or muscle building | Excess collagen production after an injury, surgery, or skin trauma |
Appearance | Thin, streaky lines that start red, purple, or pink and fade to white or silver | Thick, raised, and firm scars that stay within the original wound area |
Texture | Soft, slightly indented or smooth | Hard, raised, and sometimes itchy or painful |
Location | Common on stomach, thighs, hips, breasts, and arms | Can appear anywhere a wound has healed, often on chest, back, shoulders, or earlobes |
Microneedling for Stretch Marks and Scars vs. Other Treatments
Scarring happens when fibrous tissue steps in to repair wounds and tissue damage. It takes the place of healthy skin, sometimes permanently, sometimes just for a while. Basically, whenever the skin's continuity is disrupted (whether by injury, surgery, or some other event), scar tissue forms.
Not all scars are created equal. Normotrophic, or flat scars, are considered normal, though they can still be an eyesore. Then there are the more stubborn types: hypertrophic, atrophic, and keloid scars.
Stretch marks, or striae distensae, are a whole different story. This comes from poor skin elasticity combined with rapid stretching from weight gain, pregnancy, cortisone treatments, or anabolic steroid use. It's basically your skin saying, "I wasn't ready for this!"
There are plenty of treatment options, from DIY remedies to in-office procedures. Among these treatments, many find that microneedling for hypertrophic scars and stretch marks shows real promise. It stands out from other in-office treatments, so let's break it down.
Microneedling for Scars and Stretch Marks
Microneedling (MN) has been a go-to in dermatology for skin rejuvenation, tightening, and even tackling stretch marks. It's also a powerhouse for scar remodeling on the face and body.
A 2020 study looked at fifty-eight studies and 1,845 patients, and the verdict is in MN and its high-tech sidekick, fractional radiofrequency microneedling (FRF-MN), actually delivered. Whether it's acne scars, keloids, surgical marks, or even the aftermath of smallpox, these treatments showed real improvement.
They worked solo or teamed up with other treatments, and best of all? No serious side effects. MN is a safe, minimally invasive option with a high satisfaction rate.
Downtime? Barely.
You might feel a little discomfort after treatment, but nothing too dramatic. Right after microneedling, expect some redness if you have lighter skin or darker patches if your skin tone is deeper. Your skin might feel like it got a little too much sun but don't worry, it's temporary.
These reactions usually fade within a few days to a week, unlike other treatment options.
Creams, Oils, And Topical Preparations
Creams, oils, and all those so-called miracle lotions? Don't get your hopes up. There's no solid evidence that slathering them on does anything meaningful for stretch marks.
Topical treatments for stretch marks and scars might sound fancy, but they're just products with active ingredients applied to the skin. When researchers put them to the test, comparing them to placebos or even doing nothing at all, the results were underwhelming.
No real difference, no faster healing. If you're expecting a magic fix in a bottle, you might want to rethink your approach.
If you're thinking about using these products, do yourself a favor and pair them with a derma roller. Microneedling with a derma roller creates tiny injuries in the skin so that those products sink in and do their job.
Light And Laser Therapies
Laser stretch mark removal gives your skin a boost by speeding up collagen and elastin production. Sounds great, right? Well, before you get too excited, this isn't a magic eraser for stretch marks. It's effective, but it won't make them vanish completely.
The downside to this treatment includes mild irritation like redness, swelling, and even a little blistering. If the laser isn't used correctly, things can go south—think burns, scars, or skin discoloration.
These treatments work best on fresh, red, or purple stretch marks and tend to be more effective for lighter skin tones. If you have a darker complexion, there's a small chance of hyperpigmentation afterward.
Microdermabrasion and Dermabrasion
Dermabrasion is great if you have fair skin. For those with darker skin tones, the treatment can lead to scarring or discoloration.
Microdermabrasion, on the other hand, works nicely with all skin types and tones. It's gentle, won't mess with your skin color, and won't leave scars. But it's not a miracle worker for deeper issues like scars, stretch marks, wrinkles, or serious acne marks.
The good news? Microdermabrasion comes with almost zero downtime. Your skin might be a little pink, but it'll bounce back within 24 hours.
Chemical Peels
Deep chemical peels use powerhouse acids like Baker's phenol or carbolic acid. These acids dive deep into the skin and tackle severe scarring and textural damage that lighter TCA peels just can't touch.
These heavy-duty peels come with serious risk factors. We're talking infections, discoloration, and even more scarring if things go south. The recovery isn't a quick fix; it takes months of dedicated pre- and post-care.
Combination Treatment — Microneedling with Other Treatments
Microneedling shows serious promise when used with a topical solution. It works on both old and new scars, but the real magic happens when you pair it with other treatments. Think of it as the ultimate team player. It is good on its own but even better with a little backup.
Silicon Gels
Researchers from a 2016 study divided 26 patients into two groups, randomly assigning 10 patients to each. Group A received skin needling across the entire scar, while only half also applied a bonus layer of silicone gel. In group B, the whole scar got silicone gel, but only half got the extra skin needling treatment.
Fast forward to the results: Group A saw a 68% improvement with the combo treatment. Group B? A 63% improvement where both treatments were used versus 47% with just silicone gel. Combining these two works better. It's safe, effective, and delivers noticeable results when you stick to the plan.
Calcium Hydroxylapatite and Ascorbic Acid
In another study, thirty-five subjects with red or white stretch marks on their buttocks, thighs, knees, abdomen, and breasts underwent treatment. Researchers injected a max of 3.0 mL of CaHA filler (diluted 1:1 with lidocaine) at all skin depths using a 23G needle. Then, they immediately followed up with microneedling and 20% ascorbic acid. The microneedling-plus-ascorbic acid routine was repeated at one and two months.
Stretch marks showed a clear improvement, and people were happy about it.
• 62.9% were very satisfied
• 22.9% satisfied
• 11.4% neutral
• Only one person (2.8%) wasn't impressed.
Topical Ascorbic Acid
A 2022 study found that dermapen (a microneedling tool) plus vitamin C showed better improvement based on the Manchester Scar Scale. If you're serious about fading stretch marks, the combo approach is the way to go. More effective, better satisfaction, and no side effects.
Microneedling For Stretch Marks Before And After: What You Need to Know
You've finally decided to give derma rolling a shot—good choice. But, like any treatment, there are still a few things you need to keep in mind.
Who Should Skip Microneedling?
This treatment is safe for most people, regardless of skin tone, but not every treatment is for everyone. If any of the following apply to you, sit this one out:
• Heal at a slow pace or struggle with poor wound healing
• Compromised immune system
• Treated for skin cancer in the area you want for microneedling
• Undergoing radiation treatments
• Fresh tan or recently spent too much time in the sun
• Skin infection
Tools For Microneedling For Hypertrophic Scars and Stretch Marks
There's no one-size-fits-all when it comes to at-home microneedling tools. With different types and needle sizes out there, your choice depends on how stubborn those stretch marks and scars are, plus, of course, your personal preference. Pick what works best for you.
Stretch marks settle in the dermis, which runs about 0.6 to 4 mm deep. Microneedling devices come equipped with adjustable needles ranging from 0.25 mm to 3.5 mm.
As for hypertrophic scars, they are like keloids' less dramatic cousin, still raised, but they keep it within 4 mm of the skin's surface.
Your choice can be a derma stamp or derma roller.
• Derma stamps are perfect for targeting specific scars in smaller areas.
• Derma rollers are best for stretch marks to cover larger surfaces effortlessly.
• Larger needles trigger collagen production by reaching deeper skin layers.
• Smaller needles for product absorption.
What to Expect: Recovery and Outlook
After microneedling, don't be surprised if your skin feels a little sunburned or extra tight. Some people even get dry, flaky skin, but nothing a good moisturizer can't fix.
Patience is key with microneedling. Most people need a few sessions, and real results happen anywhere from 3 to 6 months to show up.
Prevent Stretch Marks And Hypertrophic Scars From Coming Back After Microneedling
Microneedling treatment isn't a one-and-done deal. To keep those skin concerns from making an unwelcome comeback, here are a few tips to keep your results in check.
1. Stay Consistent with Aftercare – Follow all post-microneedling instructions, including avoiding sun exposure, keeping your skin hydrated, and using recommended products to boost healing.
2. Support Your Skin with Collagen – Microneedling works by stimulating collagen production, so keep it going with a collagen-boosting diet (think vitamin C, zinc, and protein) or supplements.
3. Don't Skip the SPF – Sun exposure can break down collagen and make scars more noticeable. A broad-spectrum sunscreen (SPF 30 or higher) is a must.
4. Keep Your Weight Stable – Rapid weight gain or loss stretches the skin. It becomes more prone to new marks. Try to maintain a steady weight and support skin elasticity with regular exercise.
5. Use Retinoids or Growth Factors – Once your skin has fully healed, topical retinoids or growth factor serums keep it firm and resilient.
Microneedling For Scars and Stretch Marks
Microneedling for surgery scars and stretch marks? That's a big yes. Studies back it up, showing real results whether you use it solo or alongside other non-invasive treatments. Get smoother, better-looking skin within reach.
Now, do yourself a favor and grab a derma roller from Aither to start fading those scars and stretch marks. Don't forget to pair it with a top-notch skincare serum for the best results.