Efficacy of fractional carbon dioxide laser versus microneedling in the treatment of striae distensae

Soliman, Mona; Soliman, Mohamed; El-Tawdy, Amira; Shorbagy, Hoda Sayed

doi:10.1080/14764172.2018.1525749

Cited by 17 publications

(16 citation statements)

References 13 publications

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“…In the last decades, laser therapy and PRP had become popular as therapeutic alternatives in SD (Table 5). Successful treatment of SD by Fr CO 2 laser was reported in several previous studies 15‐18 . Lee et al, 15 confirmed the clinical improvement of SD after multiple sessions with Fr CO 2 laser, both histologically by improvement of epidermal thickness and dermal collagen orientation, and immunohistochemically by increased expression of procollagen type 1.…”

Section: Discussionmentioning

confidence: 56%

“…. Successful treatment of SD by Fr CO 2 laser was reported in several previous studies [15][16][17][18]. Lee et al,15 confirmed the clinical improvement of SD after multiple sessions with Fr CO 2 laser, both histologically by improvement of epidermal thickness and dermal collagen orientation, and21 reported that the treatment outcome of Fr CO 2 laser in SD was found to be augmented when used in combination with PDL.…”

mentioning

confidence: 72%

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Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Neinaa

Gheida

Mohamed

2021

Photoderm Photoimm Photomed

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Background Striae distensae (SD) are very common atrophic cutaneous scarring that are therapeutically challenging. Various kinds of laser had been suggested as effective treatment modalities for SD. In addition, platelet‐rich plasma (PRP) was recently recommended for its therapy. Objective To evaluate the synergistic role of PRP injection as a combined modality to fractional CO2 laser (Fr CO2) versus its combination with pulsed dye laser (PDL) in SD. Patients and methods Thirty SD patients were included in this study and treated by intradermal injection of autologous PRP on both sides, followed by laser therapy (Fr CO2 laser on right side and PDL on left side). They received 3 treatment sessions at 6 weeks interval. Results Both treatment sides reported significant clinical improvements of SD lesions, evidenced by significant reduction of width of striae lesions and significant improvement of skin texture. Furthermore, significantly higher degree of clinical improvements were observed in response to treatment sessions by combined PRP with Fr CO2 laser rather than combined PRP with PDL. Generally, post‐inflammatory hyperpigmentation (PIH) were mild in all patients. Histopathologically, SD lesions showed improvement of epidermal thickness, and more homogenization and regular orientation of dermal collagen fibers in both treatment sides, with more significant improvement on the side treated by combined PRP with Fr CO2 laser sessions rather than the other side. Conclusions PRP injection in combination with Fr CO2 laser or PDL is considered safe and effective therapeutic regimens for SD. However, its combination with Fr CO2 laser is more promising with better outcome and fewer side effects.

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Section: Discussionmentioning

confidence: 56%

mentioning

confidence: 72%

Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Neinaa

Gheida

Mohamed

2021

Photoderm Photoimm Photomed

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“…However, patient satisfaction was higher with the fractional CO 2 laser. 19 Comparing the results of the individuals treated with the fractional CO 2 laser and microneedling did not reveal any significant diversity between the groups, demonstrating that the microneedling is as beneficial as the fractional CO 2 laser. This observation was in accordance with previous studies.…”

Section: Discussionmentioning

confidence: 93%

“…which is in concordance with prior studies. 19 Sobhi et al also observed the development of PIH in the fractional CO 2 laser treated group in contrast with microneedling, which was statistically pronounced. 18 Lastly, the that should be addressed are as follows.…”

Section: Discussionmentioning

confidence: 93%

“…The sessions were held in 1-month intervals in line with the previous studies. 18,19 Fractional CO 2 laser has been utilized successfully to treat a variety of scars. 3 According to our results, in the group treated with fractional CO 2 laser, a significant difference in the size of striae, patient satisfaction, and photographic evaluation were found.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the efficacy of microneedling versus CO ₂ fractional laser to treat striae alba: A randomized clinical trial

Saki

Rahimi

Pezeshkian

et al. 2021

Dermatologic Therapy

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Striae distensae (SD) are common skin conditions that have posed a significant challenge regarding their assessment and treatment. The present study aimed to evaluate the efficacy of microneedling in comparison to fractional CO 2 laser therapy. Similar striae were selected and photographed. Each side was randomly assigned to be treated with CO 2 fractional laser or microneedling four times at monthly intervals and followed up for 10 months. Outcome measures including the length and width of the largest striae, dermatologist assessed improvement, patients' satisfaction, and visual analog scale (VAS) were assessed. Wilcoxon signed-rank test and Mann-Whitney U test were used to assess the efficacy of treatments. Forty patients with a mean age of 28.1 years were included. The median cross-section of the largest striae decreased significantly in both groups (P-value <0.001), without statistically significant differences between the two groups before and 6 months after treatment. VAS also improved significantly in both groups, and there were no statistically significant differences between the two treatments in all visits. No clinically significant adverse effects were observed. Fractional CO 2 laser and microneedling are both efficient treatments to resolve SD. A new light should be shed on the microneedling modality as it is more economical than the other treatment options.clinical trial, fractional CO 2 laser, microneedling, stretch marks, striae distensae | INTRODUCTIONStriae distensae (SD) are perceptible linear scars that emerge due to the disproportionate skin stretching. It occurs in several conditions, including growth spurt in puberty, pregnancy, and rapid changes in particular body regions. 1,2 SD occurs with a number of histopathological alterations, for instance, mid-dermis elastolysis, which is observable due to macrophage stimulation and degranulation of the mast cells. 3

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Microneedling Therapy for Striae Distensae: Systematic Review and Meta-Analysis

Sun,

Jia,

Huang

2024

Aesth Plast Surg

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Efficacy of fractional carbon dioxide laser versus microneedling in the treatment of striae distensae

Cited by 17 publications

References 13 publications

Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Comparison of the efficacy of microneedling versus CO ₂ fractional laser to treat striae alba: A randomized clinical trial

Microneedling Therapy for Striae Distensae: Systematic Review and Meta-Analysis

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Efficacy of fractional carbon dioxide laser versus microneedling in the treatment of striae distensae

Cited by 17 publications

References 13 publications

Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Synergistic effect of platelet‐rich plasma in combination with fractional carbon dioxide laser versus its combination with pulsed dye laser in striae distensae: A comparative study

Comparison of the efficacy of microneedling versus CO 2 fractional laser to treat striae alba: A randomized clinical trial

Microneedling Therapy for Striae Distensae: Systematic Review and Meta-Analysis

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Comparison of the efficacy of microneedling versus CO ₂ fractional laser to treat striae alba: A randomized clinical trial