Stretch Mark Treatment
Stretch Mark Removal in Bellevue, WA | Laser & RF Microneedling
Fade stretch marks with FDA-cleared laser therapy and RF microneedling at our Bellevue med spa. Board-certified providers, personalized plans, and protocols for all skin tones (Fitzpatrick I-VI). See real patient results, transparent pricing, and package savings. Book a consultation to get your custom plan.
Best Stretch Mark Treatments in Bellevue: Laser & RF Microneedling
What Are Stretch Marks (Striae)?
Stretch marks, medically known as striae, are visible lines that appear when your skin stretches or shrinks quickly. These marks happen when collagen and elastin fibers in your dermis tear during rapid skin changes. They're completely normal and affect up to 90% of people at some point in their lives.
Red vs White Stretch Marks (Striae Rubrae vs Albae)
Fresh stretch marks (striae rubrae) appear red, pink, or purple because blood vessels show through the damaged skin. Over time, they fade to white or silver (striae albae) as blood vessels shrink. Red stretch marks typically respond better to treatment since they're newer and still have active cellular turnover.
Treatment Areas (Abdomen, Hips, Thighs, Breasts, Buttocks, Arms)
We treat stretch marks on all body areas including:
Abdomen (especially after pregnancy)
Hips and thighs
Breasts
Buttocks
Upper arms
Treatment Options
Our Bellevue clinic offers multiple proven treatments to improve stretch mark appearance. We customize each plan based on your skin type, stretch mark age, and treatment goals.
Laser & Light Therapy
We use several FDA-cleared laser systems:
Fractional 1540/1550 nm lasers: Non-ablative fractional lasers like the Palomar LUX 1540 create microscopic treatment zones to trigger neocollagenesis
Fractional CO2 laser: More aggressive option for older white stretch marks
Pulsed dye laser (PDL/Vbeam): Targets red stretch marks using selective photothermolysis
1927 nm thulium laser: Common platforms like Fraxel/Thulium 1927 or Clear + Brilliant 1927 provide excellent superficial texture improvement
1064 nm Nd:YAG: Safe for darker skin tones (Fitzpatrick IV-VI) and may be used for vascular targets on deeper skin tones
RF Microneedling and RFAL
Fractional RF (radiofrequency) microneedling combines tiny needles with radiofrequency energy. This treatment reaches deeper skin layers to stimulate fibroblast cells and promote neoelastogenesis. For patients with skin laxity, we also offer radiofrequency-assisted lipolysis (RFAL) to tighten loose skin while treating stretch marks.
FDA-Cleared Technologies
Our non-ablative fractional lasers, PDL/Vbeam, and RF microneedling platforms are FDA Class II devices with 510(k) clearance for skin resurfacing/scars. All staff are trained per manufacturer IFUs, with documentation and maintenance logs kept current.
Adjunct Treatments
We often combine main treatments with:
PRP (platelet-rich plasma) to boost healing
Biostimulatory fillers like poly-L-lactic acid
Chemical peels (TCA, glycolic) for texture
Topical creams including tretinoin (Retin-A), silicone gel, and hyaluronic acid
How Treatments Work
These technologies work by creating controlled micro-injuries that trigger your body's natural healing response. This stimulates collagen and elastin production while promoting cellular turnover. Over several weeks, new healthy tissue replaces damaged stretch mark tissue.
Who Is a Candidate?
Most healthy adults with stretch marks are good candidates. We treat all Fitzpatrick skin types I-VI safely. During your consultation, we'll assess your skin type, stretch mark severity, and medical history to create your personalized plan.
Safe for All Skin Tones (Fitzpatrick I-VI)
Protocols for Skin of Color (Test Spots, Wavelengths, Intervals)
Patients with darker skin require special protocols to prevent post-inflammatory hyperpigmentation (PIH). We implement pre/post pigment-control protocols including SPF 30+ daily, tinted zinc oxide, and provider-directed pigment modulators like azelaic acid or hydroquinone when appropriate. Treatment involves longer intervals between sessions and mandatory test spots for Fitzpatrick types IV-VI. We use specific wavelengths and adjust settings carefully to minimize PIH risk.
Expected Results & Timeline
Most patients see initial improvement after 2-3 sessions. Optimal results typically appear after 4-6 treatments spaced 4-6 weeks apart. Red stretch marks often fade 50-70%, while white stretch marks may improve 30-50%. Individual results vary based on age, skin type, and stretch mark characteristics.
Risks and Side Effects
Common temporary effects include:
Erythema (redness) lasting 2-5 days
Mild edema (swelling)
Temporary darkening or lightening
Rare: PIH, especially in darker skin
Results, Downtime & Aftercare
How Many Sessions and When You'll See Results
Most treatments have minimal downtime. You can return to normal activities immediately, though we recommend avoiding sun exposure and following our post-treatment care instructions.
Aftercare Checklist to Minimize PIH
Gentle cleanse with mild cleanser twice daily
Moisturize with fragrance-free products
Apply broad-spectrum SPF 30+ daily
Avoid heat and exercise for 24-48 hours
No active topicals (retinoids/AHAs) until cleared by provider
Costs, Packages & Financing in Bellevue
Per-Session Pricing by Area
Individual sessions range from $300-$800 depending on treatment type and area size. Small areas (e.g., upper arms) start at $300, while larger areas like full abdomen range from $600-$800 per session.
Typical Packages
Small area package: 4 sessions with 15% discount
Medium area package: 4-6 sessions with 20% discount
Abdomen package: 6 sessions with 25% discount
Financing available through CareCredit/Cherry with monthly payments as low as $99/month
HSA/FSA and Payment Plans
HSA/FSA use for cosmetic indications varies by plan and usually requires a letter of medical necessity. We advise patients to check with their administrator. Ask about our financing partners during your consultation.
Why Choose Us in Bellevue
Our board-certified providers use FDA-cleared technology and follow strict Washington State regulations. We prioritize safety with informed consent, patch testing when needed, and adverse event reporting protocols. Our transparent pricing and personalized treatment plans help you achieve your goals.
Location & Parking
Conveniently located in Bellevue, we're easily accessible from Kirkland and Redmond. Free parking is available, and we're near major transit routes.
Before & After Photos (Bellevue Patients)
View real patient results in our gallery. We document progress with standardized photography to track your improvement over time.
See real results from real patients. Schedule your free consultation today.
Causes and Myths About Stretch Marks
What Causes Stretch Marks?
Stretch marks develop from:
Pregnancy (affects 50-90% of pregnant women)
Rapid growth spurts during puberty
Quick weight changes (gain or loss)
Bodybuilding and rapid muscle growth
Genetic factors
Corticosteroid use
Endocrine disorders affecting cortisol levels
Common Misconceptions
Myth: Only pregnant women get stretch marks. Truth: Anyone can develop them during rapid body changes.
Myth: Stretch marks completely disappear with treatment. Truth: Treatments significantly improve appearance but rarely remove them 100%.
Myth: Only overweight people get stretch marks. Truth: Even fit athletes and bodybuilders develop them.
Who Gets Stretch Marks?
While anyone can develop stretch marks, they're more common in women, people with family history, and those experiencing rapid body changes. Skin type and elasticity also play important roles.
Prevention & Early Treatment
Early treatment during the red phase yields best results. Prevention strategies include maintaining steady weight, staying hydrated, and using moisturizers with hyaluronic acid or organic oils during pregnancy or growth periods.
Collagen & Elastin Changes
Stretch marks form when rapid stretching damages collagen and elastin fibers in your dermis. This creates visible scarring as your skin tries to heal the torn fibers.
Procedure Details & Candidacy
Consultation, Fitzpatrick Typing, and Patch Testing
Your consultation includes Fitzpatrick skin typing to determine safe treatment parameters. We examine your stretch marks' age, color, and texture while discussing your medical history and goals. Patch testing helps ensure safety for sensitive skin. This helps us create your customized treatment plan.
Contraindications & Pre-Care
We may recommend stopping certain medications or skincare products before treatment.
Not a Candidate If:
Active infection or open wounds in treatment area
Currently pregnant or planning pregnancy
Recent isotretinoin use (within 6-12 months)
Uncontrolled diabetes or medical conditions
Recent tanning or sun exposure
History of keloids in treatment area
Currently on photosensitizing medications
Consider antiviral prophylaxis for history of HSV in treatment areas.
Comfort Options: Topical Anesthesia and Cooling
We apply topical anesthesia (numbing cream) 30-60 minutes before treatment. Advanced cooling systems keep you comfortable during the procedure.
Session Schedule and Aftercare
Sessions typically last 30-60 minutes. We space treatments 4-6 weeks apart to allow proper healing. Follow our aftercare instructions carefully for best results.
Postpartum & Breastfeeding Considerations
Energy-based treatments and topical retinoids (tretinoin) are avoided during pregnancy and typically deferred until after breastfeeding. Moisturizers, silicone sheets, and hyaluronic acid may be used during this time—confirm with your provider for safe options.
Progress Tracking & Maintenance
We photograph your progress at each visit. After completing your initial series, annual maintenance sessions help preserve results.
Regulatory & Safety in Washington State
FDA Class II Devices and 510(k) Clearance
All our devices are FDA Class II with 510(k) clearance for skin resurfacing and scar treatment. We only use medical-grade, properly maintained equipment with current documentation and maintenance logs.
WA Compliance, Informed Consent, and Adverse Event Reporting
We follow all Washington State regulations for medical aesthetics, including proper licensing, safety protocols, and record keeping. We provide detailed informed consent documents explaining risks and benefits. Any adverse events are properly documented and reported according to regulations.
Safety for Skin of Color
Special protocols for Fitzpatrick IV-VI skin types include conservative settings, longer treatment intervals, and PIH prevention measures.
Other Options & Combination Approaches
Microneedling (Non-RF), PRP, Exosomes, and Chemical Peels
Classic mechanical microneedling serves as a lower-cost, minimal-downtime option for mild striae or maintenance, and pairs well with PRP for enhanced results. Advanced biologics like exosomes provide growth factors that accelerate healing. TCA and glycolic acid peels improve texture and promote cellular renewal, especially effective when combined with other treatments.
Topicals and At-Home Care
Support professional treatments with:
Retinoids like tretinoin to boost cellular turnover (avoid during pregnancy/breastfeeding)
Silicone gel sheets for scar management
Hyaluronic acid serums for hydration
Organic oils for moisture
Inkless Stretch Mark Removal & Camouflage Tattooing
Inkless stretch mark removal uses tattooing equipment without ink to stimulate collagen. It's an option for those preferring non-laser treatments. While cosmetic tattooing can hide stretch marks, medical treatments actually improve skin structure. Many patients prefer the natural-looking results from medical treatments.
RFAL for Skin Laxity with Striae
When stretch marks accompany loose skin, radiofrequency-assisted lipolysis tightens skin while improving stretch mark appearance.
Combining Treatments
Best results often come from combining laser therapy with RF microneedling and topical treatments. We'll design your optimal combination.
Frequently Asked Questions
What are the most effective stretch mark treatments in Bellevue?
Fractional lasers and RF microneedling show best results. Red stretch marks respond well to pulsed dye laser, while white stretch marks benefit from fractional CO2 or 1540/1550 nm lasers.
Is Fraxel/Thulium (1927 nm) or Morpheus8/RF microneedling better for white (albae) stretch marks?
RF microneedling like Morpheus8 typically works better for white stretch marks as it reaches deeper dermal layers. Fraxel/Thulium 1927 nm excels at surface texture refinement. Many patients benefit from combining both approaches.
How much do stretch mark removal treatments cost?
Single sessions range from $300-$800. Package deals for 4-6 sessions offer savings. Many patients use HSA/FSA funds or financing.
How many sessions will I need?
Most patients need 4-6 sessions spaced 4-6 weeks apart. Initial improvement appears after 2-3 treatments.
Are results permanent, and will stretch marks return with future pregnancy or weight changes?
Results are long-lasting but not permanent. Treated stretch marks won't return to their original appearance, but new stretch marks can form with future pregnancy or significant weight changes. Maintenance treatments help preserve results.
Can I combine laser and RF microneedling in the same visit, or should sessions be staggered?
We typically stagger treatments 2-4 weeks apart for optimal healing and results. However, some protocols allow combination treatments in specific cases. Your provider will determine the best approach based on your skin's response.
Who is a good candidate?
Healthy adults with realistic expectations make good candidates. We treat all skin types safely with appropriate protocols.
What technology do you use?
We offer multiple FDA-cleared options including fractional lasers, Vbeam, RF microneedling, and combination treatments.
Is there downtime?
Most treatments have minimal downtime. Expect mild redness for 2-5 days. You can return to normal activities immediately.
Are treatments FDA-cleared?
Yes, all our devices have FDA clearance for skin resurfacing and scar treatment.
What are possible side effects?
Temporary redness and swelling are common. PIH risk exists for darker skin but is minimized with proper protocols.
What results can I expect?
Red stretch marks often improve 50-70%, white stretch marks 30-50%. Results vary by individual.
Are there natural alternatives?
Topical treatments like tretinoin, vitamin E, and hyaluronic acid can help but work slower than professional treatments.
Is treatment safe for darker skin?
Yes, we safely treat Fitzpatrick IV-VI skin using specific wavelengths and protocols to prevent PIH.
Can I get treated while pregnant or breastfeeding?
We recommend waiting until after pregnancy and breastfeeding for most treatments. Some topical options may be safe.
Laser vs RF microneedling - which is better?
Laser excels for red stretch marks and surface texture. RF microneedling works deeper for white stretch marks and skin tightening. Often we combine both.
Start Your Stretch Mark Treatment Journey
Join hundreds of satisfied patients who've improved their stretch marks at our Bellevue med spa. Our board-certified providers use FDA-cleared technology to deliver safe, effective results.
Free consultation • Transparent pricing • Financing available
References
American Academy of Dermatology - Stretch Marks: Why they appear and how to treat them
U.S. Food & Drug Administration - Energy-based devices used for aesthetic skin procedures
National Institutes of Health (PubMed) - Fractional lasers for striae distensae