Eva Carpigo answers the question in her paper:
Beauty at the Service of Humanity. A Review on the Therapeutic Value of Aesthetic Treatments
"Through the presentation of two field cases, the 'psycho-socio-aesthetics' and the 'humanitarian cosmetic surgery', I propose to focus the viewpoint of beauty practitioners who agree in considering aesthetic enhancements as their cathartic objectives to evacuate uneasiness and suffering. In consequence, I argue that aesthetic treatments should be recognised as practices of well-being, since their aim is to enhance user's psychological and social life. Lastly, I affirm the need to value ethics as a complementary skill to individuate appropriate conditions into which practices of beauty-care should take place"
As a Pharmacist, we need to be aware and assist with the medications that very often health-challenged patients seeking out "beauty enhancement" and/or "esthetic recovery," for any number of reasons, are being prescribed for their medical condition. A further exploration is needed in contacting specialized programs in England and France to inquire as their needs to know about which medications and what they may want to know about such treatments. This program, The SocioEsthetican, ongoing seeks out to identify and disuss this sector of pharmacy and all that may be related to such endeavors.
Stretch marks, also known as striae, are a common dermatological concern affecting millions of individuals. These visible streaks on the skin can occur due to rapid growth, weight fluctuations, or hormonal changes. While they are not harmful, stretchmarks can impact the way we see ourselves. Fortunately, advances in dermatology have led to the development of effective treatments, such as tretinoin and hyaluronic acid, which show promise in reducing the appearance of stretch marks and promoting skin healing.
Stretch Marks are characterized by thin, depressed streaks that develop on the skin when the underlying tissue expands or contracts faster than the skin can accommodate. The most common areas affected by stretch marks include the abdomen, thighs, breasts, and buttocks. They often appear red, pink, or purple initially and fade over time, leaving behind silvery-white or pearly lines.
Tretinoin, a derivative of vitamin A, has been widely studied for its ability to promote skin health and healing. When applied topically, it works by stimulating collagen synthesis, increasing cell turnover, and improving skin elasticity. These mechanisms contribute to the reduction of stretch marks by enhancing the overall appearance of the affected skin. Studies have shown that tretinoin can significantly improve the appearance of stretch marks when used consistently over a prolonged period. However, it is important to note that tretinoin may cause skin sensitivity, redness, or irritation in some individuals. It also must be used correctly in order for it to work. The patient should avoid putting it on in the daytime as it can cause photosensitivity and should be applied at least 30 mins after a shower to ensure that the skin is dry. Pregnant women or those breastfeeding should avoid using tretinoin due to potential risks to the fetus or infant.
Hyaluronic acid, a naturally occurring substance in the body, is known for its ability to retain moisture. As a key component of the skin's extracellular matrix, it plays a crucial role in maintaining hydration, elasticity, and overall skin health. When applied topically or injected into the skin, hyaluronic acid can help improve the appearance of stretch marks by hydrating the skin, promoting tissue repair, and enhancing skin texture. It works by attracting and binding water molecules, resulting in increased skin plumpness and suppleness. This can help minimize the visibility of stretch marks and improve overall skin tone.
Stretch marks can have a significant impact on an individual's self-esteem and body image. Tretinoin and hyaluronic acid have shown promise in reducing the visibility of stretch marks and promoting skin healing. Hyaluronic acid is available over the counter, but tretinoin would need to be prescribed by a dermatologist and could be potentially expensive based on insurance. If a patient comes asking for a recommendation, hyaluronic acid is more easily accessible and cheaper, but some patients may feel like they need more. If the patient does go to the dermatologist, there are procedures that can be done to make stretch marks less noticeable, such as chemical peel, microdermabrasion, and more.
References
Hague A and Bayat A. “Therapeutic targets in the management of striae distensae: A systematic review.” J Am Acad Dermatol. 2017;77(3):559-68.
Stier MF and Hirsch RJ. “Rejuvenation of scars and striae.” In: Hirsch RJ, et al. Aesthetic rejuvenation. McGraw Hill Medical, China, 2009:224-9.
Ud‐Din S, McGeorge D, et al. “Topical management of striae distensae (stretch marks): prevention and therapy of striae rubrae and albae. J Eur Acad Dermatol Venereol. 2016; 30(2): 211–22.