They almost always appear at the same time: after a few months of rapid progress, on the shoulders, chest, the inner arms or lower back. Red or purple streaks, parallel, in the areas that have grown the most. The subject is almost absent from gym discussions, even though it concerns many practitioners.
The central point of this article comes down to one sentence: it's not the mass that creates stretch marks, it's the speed at which it arrives. This completely changes what's possible to do. We also address a topic that no one discusses frankly, that of anabolic steroids, and what actually works once the streaks have appeared.
A stretch mark is a rupture of collagen and elastin fibers in the dermis, caused by rapid mechanical stretching. In bodybuilding, the stretching comes from increased volume under the skin: deltoids, chest, biceps, latissimus dorsi. Research identifies rapid growth and weight fluctuations among typical situations for their appearance. What's under your control.
The speed of progression , essentially. Adequate protein intake, around 1.6 to 2.2 g per kilogram per day according to the reference meta-analysis, allows you to build with a more moderate caloric surplus.What's not: genetics and family history. The taboo subject: Le sujet tabou : Anabolic steroids strongly accelerate lean mass gain, 2 to 5 kg in the short term according to the literature, and their skin effects are among the recorded adverse effects. What doesn't work: Preventive creams. What works: Treat early, at the red stage.
Where they appear, and why there
Reminder of the mechanism, detailed in our complete guide : a stretch mark is a dermal lesion, caused by the rupture of collagen and elastin fibers under rapid mechanical stretching. It's not a surface problem, and it's not a matter of skin dryness.
In muscle-building, the stretching doesn't come from fat gain or pregnancy: it comes fromthe increase in muscle volume under the skin. Hence a very predictable localization, which follows the groups most responsive to hypertrophy.
| Zone | Why it is exposed |
|---|---|
| Shoulders and deltoids | Area of very high relative hypertrophy, thin and minimally mobile skin |
| Chest, outer edge and armpit hollow | Rapid volume gain, supple skin that stretches suddenly |
| Inner arms, biceps and triceps | Thin skin, strong circumference progression |
| Lower back and latissimus dorsi | Rapid widening of the ribcage and back during muscle gain |
| Glutes and thighs | Significant volumes, frequent in strength athletes |
Reviews on stretch marks actually classify this situation among recognized causes: they occur during pregnancy, puberty, obesity, but also in numerous situations of growth and rapid changes in body volume, as well as following certain treatments. Weightlifting is therefore not a special case: it is a variation of the same mechanism.
The real factor: speed, not mass
The mechanism leads to a conclusion that few people express. If stretch marks result from rapid stretching, then what matters is not the final volume reached, but the speed at which the skin must adapt to it.
Two athletes each gaining ten kilos do not face the same risk: the one who gains them in four months imposes on their dermis a constraint far greater than one who gains them in twelve, for an identical final result. Skin has an adaptation capacity, but it needs time.
The aggressive bulk, with very high caloric surplus and significant weekly weight gain, is the most exposed configuration. It moreover accumulates two disadvantages: a larger proportion of fat in the gain, and maximum skin stress. A slower and more regular progression addresses both problems at once.
The nutritional lever is simple: an adequate protein intake allows you to build muscle with a more moderate caloric surplus. The landmark meta-analysis by Morton, published in the British Journal of Sports Medicine, places the useful intake at around 1.6 to 2.2 g of protein per kilogram of body weight per day. Beyond that, the additional gain is marginal. In other words: properly covering protein needs often allows you to reduce overall caloric surplus, which slows weight gain without slowing muscle building.
Other factors, however, do not change: studies identifyyoung age and family history among the main determinants. If your parents or siblings have it, your predisposition is greater, and this cannot be changed.
The topic nobody addresses: anabolic steroids
It's impossible to honestly address stretch marks in bodybuilding without covering this point, given how commonly it's observed in gyms. Here's what the literature says, and what it doesn't.
What is documented. A review published in Sports Medicine reports that short-term administration of anabolic androgenic steroids in athletes increases strength by 5 to 20% and body weight by 2 to 5 kg, gains attributed to an increase in lean mass. The same review lists among adverse effects alterations of the sebaceous system and skin, as well as acne, increased body hair, and endocrine, cardiovascular, and psychiatric disturbances. A systematic review dedicated to nandrolone decanoate, covering 148 articles, ranks skin disorders in third place among reported adverse effects, at 12%, after endocrine effects at 42% and cardiovascular effects at 14%.
The reasoning is straightforward: if stretch marks arise from rapid stretching, then anything that accelerates lean mass gain mechanically increases skin tension. A gain of 2 to 5 kg of lean mass over a few weeks represents exactly the type of progression that skin tolerates poorly.
A note for honesty's sake: we have not identified trials specifically measuring the frequency of stretch marks among anabolic steroid users. What the literature establishes is, on one hand, a marked acceleration of lean mass gain, and on the other, skin damage among the reported adverse effects. The link to stretch marks is consistent with the mechanism, it is not quantified by a dedicated study. We prefer to state it this way rather than claim more.
A reminder that goes beyond aesthetics: these substances are banned in sport and their use without prescription exposes users to documented risks far more serious than skin striations, particularly cardiovascular, endocrine, and psychiatric. The Sports Medicine review furthermore emphasizes that scientific data likely underestimate actual adverse effects, since laboratory doses studied are lower than those used in practice. This topic is developed in our guide on banned substances in sport.
Adolescence, a particular consideration
In a young practitioner, two phenomena accumulate: growth spurt from puberty, which is in itself a classic cause of stretch marks, and muscle gain linked to training. The skin then undergoes double stretching, during a period when young age is already identified as a risk factor.
This is not a call to give up training, which has no reason to be avoided. It simply invites one not to add abrupt weight gain to already rapid growth, and to know that stretch marks appearing during this period are common and benign. Let us also recall that a trial showed measured improvements on white stretch marks in adolescents, with width reductions of 9 to 13% under topical treatment: the situation is not fixed.
What prevents nothing, despite the promises
To state it clearly: no topical preparation has demonstrated its ability to prevent stretch marks. This is the conclusion of a Cochrane review covering six randomized trials and 800 participants, and that of general reviews on the subject, which note that topical agents lack efficacy in prevention.
| What you will see offered | What the literature says |
|---|---|
| Cocoa butter, olive oil | Explicitly described as ineffective in prevention and in reducing severity |
| Cosmetic "anti-stretch mark" creams | No quality evidence in prevention |
| Collagen supplement | No data on stretch marks |
| Daily hydration | Improves skin comfort, with no demonstrated effect on appearance |
We sell collagen, and the line in the table concerning it says exactly what it should say. The reasoning that since a stretch mark is a collagen break, consuming it would prevent the problem, is a logical leap that we break down in our article on the glycine and collagen relationship : adding one brick does not pilot the construction.
What works once they're there
It is the useful reversal of this issue: prevention has no solid evidence, but treatment, has been ranked.
A network meta-analysis covering 14 randomized trials and 651 participants compared treatments with each other. Leading the way is the combination of bipolar radiofrequency and topical tretinoin, with 84.5% probability of being clinically most effective and 95.7% probability of being most satisfactory. Next come bipolar radiofrequency alone, then fractional CO2 laser. A counterintuitive detail: tretinoin alone comes last in the ranking.
The stage matters more than the technique. A stretch mark red or purple is recent, still inflammatory, and responds significantly better. A stretch mark white is an established scar: the best complete disappearance rate published drops to 4%.
Concretely, if red stretch marks appear on your shoulders or chest during a bulk, the right time to consult is now, not in two years when they've turned white. It's by far the best investment in this matter, and it's also the one no one makes, because we always hope they'll disappear on their own.
What's realistic to expect: a marked improvement, not complete erasure. Details, comparisons between techniques, side effects including the risk of hyperpigmentation, and questions to ask during your consultation are covered in our dedicated article on white stretch marks.
What to do concretely
A practitioner's stretch marks are not a sign of failure or neglect: they are the marks of skin that had to adapt quickly. You cannot change your genetics, you can choose your pace. And if they appear, the costly mistake is not having them—it's waiting until they turn white before dealing with them.
Frequently asked questions
Why they appear
Why do I have stretch marks when I exercise?
Because stretch marks don't come from poor lifestyle habits but from rapid mechanical stretching of the dermis. In weight training, this stretching comes from the increase in muscle volume under the skin. Exercise doesn't protect you: rapid progression actually exposes you more, since it's precisely the speed of stretching that creates the rupture of collagen and elastin fibers.
Why on the shoulders and chest?
Because these are the areas where volume increases fastest proportionally, with relatively thin and immobile skin. The same logic applies to the inside of the arms, the latissimus dorsi and lower back, as well as the glutes and thighs in strength athletes. Location simply follows the map of hypertrophy.
Is it mass or speed that matters?
Speed, and that's the central point. Two practitioners each gaining ten kilos don't face the same risk: the one who gains it in four months imposes a much greater constraint on their dermis than the one who gains it in twelve months, for an identical final result. Skin adapts, but it needs time.
Does genetics play a role?
Yes, and strongly. Reviews identify young age and family history among the main determinants. If your parents or siblings have them, your predisposition is higher. These factors cannot be changed, which makes the only remaining lever even more important: the speed of progression.
Are young people more exposed?
Yes, for two reasons that compound each other. The puberty growth spurt is itself a classic cause of stretch marks, and young age figures among identified risk factors. If rapid mass gain from training is added to this, the skin undergoes double stretching. This doesn't mean giving up training, only not adding brutal weight gain progression to it.
Mass gain and nutrition
Does aggressive bulking promote stretch marks?
This is the most exposed configuration, since it maximizes the speed of weight gain. It also combines two disadvantages: a larger proportion of fat in the gain, and maximum skin stress. Slower and more regular progression addresses both problems simultaneously, for a comparable final muscle result.
What protein intake should I aim for?
The reference meta-analysis by Morton, published in the British Journal of Sports Medicine, places useful intake around 1.6 to 2.2 g of protein per kilogram of body weight per day, beyond which additional gain is marginal. The indirect relevance to this topic: properly covering protein intake often allows you to reduce overall caloric surplus, so you can gain weight more slowly without slowing muscle building.
Can a supplement prevent stretch marks?
No, and we say this while selling supplements. No data demonstrates a preventive effect, whether for collagen, proteins, or any other product. Proteins contribute to muscle mass growth and maintenance, which is different, and nothing of the sort has been demonstrated for collagen peptides.
Does collagen powder help?
Nothing demonstrates this for stretch marks. The reasoning that since a stretch mark is a collagen rupture, consuming it would prevent the problem, is a logical leap: providing a brick doesn't pilot the construction, as collagen synthesis is a process regulated by cellular signals and mechanical constraints.
Anabolics
Do anabolic steroids cause stretch marks?
The link is coherent with the mechanism, without being quantified by a dedicated study. What the literature establishes: short-term administration of anabolic androgenic steroids increases body weight by 2 to 5 kg per lean mass gain, and skin alterations figure among the recorded adverse effects, with a systematic review classifying skin disorders at third rank at 12%. Anything that accelerates lean mass gain mechanically increases skin stress. We have not identified trials specifically measuring the frequency of stretch marks in these users.
What are the other risks of anabolics?
They far exceed the aesthetic question: lasting endocrine disruptions, alterations in cardiovascular risk factors including blood pressure and lipid profile, mood and behavior disorders, skin damage. A review published in Sports Medicine further emphasizes that scientific data probably underestimate actual effects, as doses studied in the laboratory are lower than those used in the field. These substances are moreover banned in sport.
Are stretch marks a sign of doping?
No, and we need to be clear about this. Stretch marks appear in many natural practitioners simply because they progress quickly, and they also appear during puberty or with weight fluctuations having no connection to sport. Drawing any conclusions about someone's practice from this would be unfounded.
Treatment
Can they disappear?
Not completely. Out of 151 studies and 4,806 treatment results compiled, the best complete response rate for white stretch marks is 4%. On the other hand, clear attenuation is an achievable and documented objective. The distinction between erasing and attenuating is what prevents both false promises and unnecessary discouragement.
What treatment ranks best?
A network meta-analysis covering 14 randomized trials and 651 participants ranks at the top the combination of bipolar radiofrequency and topical tretinoin, with 84.5% probability of being clinically most effective and 95.7% of being most satisfactory. Following are bipolar radiofrequency alone, then fractionated CO2 laser. Counterintuitive point: tretinoin alone ranks last in the classification.
Should you consult early?
Yes, and it's the best investment in addressing this issue. A red or purple stretch mark is recent, still inflammatory, and responds significantly better to treatments. Once it turns white, it's a formed scar and the best rate of complete disappearance drops to 4%. If red striae appear during a bulking phase, now is the right time.
Do stretch marks go away on their own?
They naturally fade by turning from red to white, making them less visible over time. But this evolution is not a disappearance: it corresponds to the formation of the permanent scar. This is precisely why waiting is counterproductive if you wish to take action, since the most effective options concern the red stage.
Should you stop weight training?
Absolutely not. Stretch marks are benign lesions that pose no health risk, and resistance training provides widely documented benefits. The only reasonable adjustment is to moderate the rate of weight gain, which also improves the quality of the gains.
Does tanning or UV exposure help?
No, and this is a common misconception in gyms. White stretch marks don't pigment like surrounding skin, so tanning tends to make them more visible by contrast, not less. Add to this the well-documented skin risks of artificial UV exposure.
What should you remember about stretch marks and weight training?
That stretch marks arise from rapid stretching, so the determining factor is the rate of gain, not the final mass. That genetics and age play a role, though they're not modifiable. That no preventive cream has proven effective. That anabolic steroids greatly accelerate lean mass gain, with risks far broader than just skin. And that if red striae appear, consulting immediately is the best possible choice.
Glossary
- Stretch mark (striae distensae)
- Linear dermal lesion resulting from the rupture of collagen and elastin fibers under rapid stretching.
- Striae rubra
- Recent stage, red or purple, inflammatory, where treatments respond best.
- Striae alba
- Old stage, white and pearlescent, corresponding to a formed scar.
- Hypertrophy
- Increase in the volume of muscle fibers as a result of training.
- Lean mass
- Part of body weight excluding fat mass, notably including muscle.
- Anabolic androgenic steroids
- Synthetic derivatives of testosterone, banned in sports, associated with documented adverse effects.
- Network meta-analysis
- Statistical method allowing comparison of treatments with each other, including without direct confrontation.
- Complete response
- Disappearance of the lesion, distinct from partial improvement in its appearance.
Sources
The studies cited below were identified via PubMed.
- Al-Himdani S, et al. Stretch marks: comprehensive review and evidence-based evaluation of prophylaxis and treatment. British Journal of Dermatology, 2014;170(3):527-547. DOI
- Zhu CK, et al. Systematic review of stretch mark treatment outcomes. Dermatologic Surgery, 2024;50(6):546-552. DOI
- Lu H, et al. Comparative efficacy of different therapies in the treatment of stretch marks: systematic review and network meta-analysis. Medicine (Baltimore), 2020;99(39):e22256. DOI
- Hartgens F, Kuipers H. Effects of androgenic anabolic steroids in athletes. Sports Medicine, 2004;34(8):513-554. DOI
- Patanè FG, et al. Nandrolone decanoate: use, abuse and adverse effects. Medicina (Kaunas), 2020;56(11):606. DOI
- Morton RW, et al. Systematic review, meta-analysis and meta-regression of the effect of protein supplementation on muscle mass and strength gains induced by resistance training. British Journal of Sports Medicine, 2018;52(6):376-384.
- Brennan M, Young G, Devane D. Topical preparations for the prevention of stretch marks during pregnancy. Cochrane Database of Systematic Reviews, 2012;11:CD000066. DOI


