Concise answer
Older pale stretch marks may improve in texture or contrast, but complete removal is not a realistic promise. Their age, width, location, skin type and treatment tolerance affect the plan.
Stretch marks are structural changes in the skin rather than surface lines that can simply be scrubbed away.
Procedural options usually require staged treatment and careful discussion of pigment risk and expected degree of change.
When evaluation may help
Assessment is useful before needling, resurfacing or energy treatment and when stretch marks appear suddenly without an obvious growth or pregnancy-related change.