Stretch marks are scars that develop when our skin stretches or shrinks quickly. The abrupt changes cause rupture of the collagen and elastin present in the deeper layer of the skin, thus leading to scars.

In the early stages, the stretch marks are reddish in colour and slightly elevated. The fresh stretch marks are sometimes associated with itching. With time, they become whitish and depressed and wrinkled. This indicates that the stretch marks have now matured.

Unfortunately, there is no way to prevent stretch marks from developing. If somebody in your family has stretch marks, you also have high chances of developing them at some point in life.

With the help of various topical formulations and procedures, one can lighten their stretch marks and make them less noticeable. When the stretch marks are of recent onset and reddish in colour, creams containing tretinoin and / or hyaluronic acid have been shown to be of some help. But these creams should be applied and massaged in to the skin daily for few weeks before you start to notice any improvement.

More effective way of healing the stretch marks is through certain cosmetic procedures. These include :

  1. Microneedling with PRP
  2. Resurfacing laser
  3. Chemical peel
  4. Microdermabrasion
  5. Radiofrequency
  6. Ultrasound

Among the above mentioned treatment modalities, microneedling with PRP and resurfacing laser are the most commonly used. Both are based on the principle of collagen induction, that is, the fibroblast cells are stimulated to produce new collagen and elastin that replaces the damaged tissue, thus clinically improving the scars. PRP boosts these results as it is a concentrate of growth factors which further stimulate cellular division and metabolism. One would require 4-6 sessions of the treatment to see best results.


Sensitive skin

Sensitive skin is also known as reactive skin, hyperactive skin, intolerant skin, and irritable skin. It is a very common condition. About 40% people in the world have a sensitive skin, with female preponderance.

It is characterised by cutaneous hypersensitivity. Affected individuals complain of itching, burning and stinging sensations with exposure to many skincare products and/ or environmental factors. The skin feels dry, red and irritated. Application of a simple moisturiser or even the best quality cosmetic product leads to severe stinging and burning sensation. It feels as if “no product suits our skin”.

It has a considerable impact on health-related quality of life. People are embarrassed and socially isolated as their skin keeps burning and itching. s

A person develops a sensitive skin majorly because of four reasons

  1. Defective skin barrier
  2. Hypersensitivity of peripheral nerve endings in the skin
  3. Exaggerated cutaneous vascular response
  4. Allergic predisposition

The triggering factors may be exogenous and endogenous factors. The important exogenous triggering factors include cosmetics and soaps, environmental climate like temperature changes, cold, heat, dampness, sun exposure, stress or emotions, wind, and friction from clothes.
Some of the endogenous factors predisposing to a sensitive skin are having a dry or greasy skin, a history of childhood atopic dermatitis, being female, and having a fair skin type.

I am sure that by now more than half of the people reading this, would have identified themselves as having a sensitive skin!

So how do we treat it and take care of it?

If you already have any rashes on your skin, it is highly recommended to visit a qualified dermatologist for a thorough examination of your condition and accordingly take the treatment.

For those you do not have any physical signs like redness or rash, here are the preventive and daily care tips. Routine skin care basically involves three steps – cleansing, moisturising, and sun protection.

Cleansing - skin cleansers should preferably be nonfoaming, with a pH around 5-5.5, and contain no exfoliates. Look for a product labelled ‘intended for sensitive skin’. Synthetic detergent cleansers (syndets) should be preferred because they provide an optimum skin cleansing while minimising barrier damage. Lipid free cleansers cleansing without water (non-rinsing cleaning lotions) and leaving a thin moisturising film on the skin might also be a really good solution.
Cleansing masks, peelings, or implements such as a sponge, cotton wool, or brushing machines should be avoided as they are mostly too rough for sensitive skin.
Finally, cleaned facial skin should be thoroughly dried by gently patting with a paper tissue.

Moisturisers - this is the most important step in your daily routine skincare as using a correct moisturiser in cases of sensitive skin will not only help in rehydrating the skin but also will help in restoring the skin barrier. Our skin barrier function is majorly because of the lipids present in the uppermost layer of the skin called as stratum corneum. The main lipids of our skin include ceramides, cholesterol, and free fatty acids (linoleic acid, palmitic acid, stearic acid). So you should chose a moisturiser which has all these three ingredients. Also make sure that the product you chose if free of any irritant and potential allergens. Look for something labelled as ‘hypoallergenic’. Hypoallergenic implies that the product is based on a special formulation, is gentle and safe for the skin, and causes less allergic reaction.

Sun protection - for people with a sensitive skin, a physical sunscreen is always preferrred, as it does not react chemically with the skin and also provides a broad spectrum protection. So always pick a sun block containing zinc oxide and/ or titanium dioxide. Additionally you should use physical barrier methods as well like an umbrella or scarf or hat while stepping out.

How to chose and use cosmetics if you have a sensitive skin?

Use the smallest possible number of cosmetics

Use cosmetics designed for sensitive, intolerant, or hypoallergenic skin

Use preservative and fragrance free, non comedogenic cosmetics

Use powder cosmetics instead of cream-based products

Hypoallergenic makeup should moisturise the skin, act as a corrective, and must be easy to apply

Mix the corrective foundation with a suitable moisturiser and apply it gently by tapping with fingers

Liquid foundations should base on silicone derivatives (like cyclomethicone, dimethicone)

Eyeliner and mascara should be black

Avoid water proof cosmetics

Avoid nail polishes

Clean rushes after each use

Spraying thermal water all over the face after applying makeup will make it last longer while softening, moisturising, and protecting the skin

Store cosmetics in cool, dry place, and do not leave them uncovered

Avoid cosmetics beyond its expiration date


Avoid soaps, preservatives, alcohol-based, perfumed, or mentholated products

Avoid over cleansing the skin

Avoid products known to irritate the skin like low pH alpha hydroxy acids, glycolic acid

Avoid procedures known to irritate the skin like massage, peeling, dermabrasion, sponges, brushing, and suction

Avoid hot steam and heating masks

Avoid extremely cold compresses and eye cooling pads

Avoid hot or long bathing as well as taking hot and/ or cold showers

Avoid essential oils and aroma therapy

Avoid epilation and depilation (waxing)

Avoid all sources of skin friction (massage, tight clothes, jewellery)

Avoid extreme temperature changes

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