Clinical Improvement of Striae Distensae in Korean Patients Using a Combination of Fractionated Microneedle Radiofrequency and Fractional Carbon Dioxide Laser

Ryu, Han-Won; Kim, Sung-Ae; Jung, Hye Ra; Ryoo, Young Wook; Lee, Kyu‐Suk; Cho, Jae-We

doi:10.1111/dsu.12268

Cited by 71 publications

(67 citation statements)

References 19 publications

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“…FRM treatment level guidelines for striae distensae and atrophic scar [24][25][26] could provide a viable, minimally invasive treatment alternative for skin conditions commonly encountered in the dermatology practice. And they developed reproducible parameters and guidelines in order to most effectively treat a variety of skin conditions using FRM device.…”

Section: Resultsmentioning

confidence: 99%

“…Although a variety of laser and light sources have been used for the treatment of striae distensae, to date no definite 'gold standard' treatment modality has been determined. [24][25][26] A study of the FRM system on 30 female patients with moderate to severe striae distensae showed optimal clinical results with minimal side effects. 25 The panel contended that FRM system could be one of the suitable options for treating striae distensae and atrophic scar and suggested proper parameters which are shown on Table 5.…”

Section: Mechanism Of Actionmentioning

confidence: 99%

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Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

et al. 2014

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Background and ObjectivesFractional radiofrequency micro-needle (FRM) has revolutionized the way we treat a variety of cutaneous conditions using radiofrequency technology. A comprehensive guide is required for clinicians using this technology in treatment of a variety of skin conditions in various skin types. Materials and MethodsThe guidelines were made from a recent round table discussion among experienced clinicians and a review of recent medical literature. ResultsWe concluded that FRM is a safe and effective modality for treatment of conditions commonly encountered in dermatology, and recommended guidelines for optimal treatment of several skin conditions on and off the face using FRM. ConclusionWe developed reproducible guidelines for most effective treatment of a variety of skin conditions using FRM. Conduct of large, multicenter trials will be needed for further optimization of treatment parameters.

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Section: Resultsmentioning

confidence: 99%

Section: Mechanism Of Actionmentioning

confidence: 99%

Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

et al. 2014

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“…Ryu et al [8] conducted a study to evaluate the efficacy and safety of a combination therapy with fractionated microneedle RF and fractional CO 2 laser in the treatment of striae distensae. The study included 30 female patients with moderate to severe striae distensae who were evenly divided into three treatment groups: fractional CO 2 laser only (n = 10), microneedle RF only (n = 10), and combination therapy (n = 10).…”

Section: Striae Distensaementioning

confidence: 99%

“…Histologic examination showed a thickened epidermis and a clear increase in the number of collagen fibers in the microneedle RF-and fractional CO 2 combination-treated sites. The investigators concluded that the combination therapy of fractionated microneedle RF and fractional CO 2 laser is a safe treatment approach with a positive therapeutic effect on striae distensae [8].…”

Section: Striae Distensaementioning

confidence: 99%

Radiofrequency Combinations

Eckhouse¹,

Fritz

Adatto³

2014

Radiofrequency in Cosmetic Dermatology

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Radiofrequency (RF) may be combined with other modalities, particularly light-based treatments, to maximize the benefits of each while reducing the risks of treatment. The light energy may be used, for example, to preheat a target by selective photothermolysis. Since RF travels preferentially in warmer tissues due to reduced impedance, the combination of RF and light may allow the use of lower fluence of each. Such an approach can maintain effectiveness and improve safety. This approach has been used successfully on a variety of indications on the face and body. This chapter reviews the clinical studies reported. © 2015 S. Karger AG, BaselRadiofrequency (RF)-based devices have become a mainstay in modern aesthetic medicine and are considered to be one of the leading technologies currently available for cosmetic treatments. Their proven safety and efficacy has been extensively documented in troves of clinical trials for the treatment of a plethora cosmetic indications that include skin rejuvenation, skin tightening, wrinkle improvement, acne vulgaris, acne scarring, cellulite, striae distensae, hair removal and vascular lesions. Varying combinations of RF energy with other therapeutic modalities such as laser and light energy sources as well as mechanical tissue manipulation with vacuum and massage have also been investigated and explored in depth, and have been shown to even further improve the clinical outcomes of these cosmetic indications.elōs (electro-optical synergy) (Syneron Medical Ltd., Yokneam, Israel) was the first technology that simultaneously harnessed the power of bipolar RF and optical energy, resulting in a synergistic effect of combined technologies. The technology overcomes some of the safety and procedural limitations of intense pulse light (IPL) and conventional lasers.

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“…As one of them, the distinct microstructural features, including anisotropic surface structure, have been demonstrated . Considering how SD develop, including dermal network ruptures and alignment to mechanical stretch, structural directionality or anisotropy could be expected . Although anisotropy is one of the major characteristics of SD, non‐invasive clinical studies on anisotropic properties remain rare.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of anisotropic properties of striae distensae with regard to skin surface texture and viscoelasticity

Kim

Jung

Kim

2019

Skin Research and Technology

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Background Striae distensae (SD) are skin lesions of parallel streaks, which mostly occur during rapid tissue expansion. Considering the etiological mechanism of SD, including dermal network ruptures and alignment to mechanical stretch, structural directionality or anisotropy could be expected. Non‐invasive objective methods for measuring the anisotropy of SD have not been suggested yet. Therefore, we evaluated the anisotropic properties of SD with regard to skin surface texture and viscoelasticity, to verify them as new objective evaluation parameters of SD. Methods Thirty‐two healthy subjects with SD on their body participated. Anisotropy of skin surface texture and biomechanical properties of SD‐involved skin and adjacent normal skin was assessed and compared. Results Analysis of skin surface texture, based on the ×60 magnified images, revealed that SD have more disordered patterns compared to the regular honeycomb patterns seen in the normal surrounding skin. SD have bigger sizes of each blob than normal skin. The overall anisotropy of skin texture was significantly higher in SD. Skin biomechanical parameters, measured using Cutiscan®, indicated the less deformable, less recovered, and less viscoelastic properties of SD. When comparing viscoelastic properties over 360°, SD were more anisotropic than the adjacent normal skin as well. Conclusion We observed that SD were significantly more anisotropic than adjacent normal skin with regard to skin surface texture and viscoelasticity. Therefore, anisotropy could be an objective evaluation parameter to represent the distinctive features of SD. It can be applied for evaluation of the SD severity and clinical efficacy of various treatments.

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Clinical Improvement of Striae Distensae in Korean Patients Using a Combination of Fractionated Microneedle Radiofrequency and Fractional Carbon Dioxide Laser

Abstract: Combination therapy of fractionated microneedle RF and fractional CO2 laser is a safe treatment protocol with a positive therapeutic effect on striae distensae.

Cited by 71 publications

References 19 publications

Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

Consensus Recommendations on the Use of a Fractional Radiofrequency Microneedle and Its Applications in Dermatologic Laser Surgery

Radiofrequency Combinations

Evaluation of anisotropic properties of striae distensae with regard to skin surface texture and viscoelasticity

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