Striae after topical corticosteroid: Treatment with nonablative fractional laser 1540nm

Alves, Renata Oliveira; Boin, Maria Fernanda Camargo; Crocco, Elisete Isabel

doi:10.3109/14764172.2014.1003243

Cited by 19 publications

(7 citation statements)

References 7 publications

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“…The absorption of this wave length in the microvasculature within the dermal papillae and dermis increases the temperature around the vessels producing a thermal damage su cient to stimulate the different phases of wound healing, and causing collagen remodeling. 5 Moreover, LP Nd: YAG laser provokes a new collagen formation potentiating the improvement of SD [14].…”

Section: Discussionmentioning

confidence: 99%

“…The 1064 nm long-pulsed (LP) Nd: YAG laser increased the dermal collagen when utilized in the treatment of atrophic scars and facial wrinkles. Additionally, ND: YAG laser has a powerful a nity to vascular chromophores, so it can be used effectively in treating striae rubra [5]. Therefore, the objective of this work was to compare and evaluate the effect of 1,064 nm LP Nd: YAG laser and fractional CO2 laser clinically and histologically in managing SD.…”

Section: Introductionmentioning

confidence: 99%

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WITHDRAWN: Comparative study between the efficacy of long-pulsed Neodymium- YAG laser and Fractional CO2 laser in the treatment of striae distensae

Hendawy

Aly

Shokeir³

et al. 2021

Preprint

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Background: Striae Distansae (SD) are a disfiguring dermal lesion, characterized by lines of dermal atrophy, occurring at sites of dermal damage caused by stretching. They affect adolescents and more than 70% of pregnant females due to stretching of the skin.Objectives: To assess and to compare the effect of 1, 064 nm Long Pulsed (LP) Nd: YAG laser and Fractional CO2 laser clinically and histologically in treating SD.Materials/Methods: Thirty female patients with bilateral symmetrical SD were treated with Fractional CO2 laser on one side and long-pulsed Nd: YAG laser on the other side. All patients treated with 3 laser sessions at 3 weeks interval. Global Aesthetic improvement scale (GAIS) and the score of patient satisfaction were used to evaluate improvement 3 months post treatment. Four mm punch biopsies were taken from each side before treatment and 3 months after the last session to measure epidermal and collagen thickness.Results: More significant clinical improvement was noted with the Nd:YAG laser than Fractional CO2 laser. Both GAIS and satisfaction score were significantly higher in the Nd:YAG laser treated side epidermal and collagen thickness were evidently increased in the lesions treatd by Nd: YAG laser than those treated by Fractional CO2 laser with no significant difference.Conclusions: Long pulsed Nd-YAG laser is clinically more effective than the Fractional CO2 laser in treating SD without serious adverse effects, although there was no significant difference between them histopathologically.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

WITHDRAWN: Comparative study between the efficacy of long-pulsed Neodymium- YAG laser and Fractional CO2 laser in the treatment of striae distensae

Hendawy

Aly

Shokeir³

et al. 2021

Preprint

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“…9 Cushing syndrome or long term administration of topical/oral corticosteroids may cause the developing of striae. 5,[10][11][12][13] Genetic susceptibility can definitely have a major role as well; however, the precise mechanism has not completely elucidated. Tung et al performed some accurate genome analysis and demonstrated the collapse of elastic microfibrils as the etiology of some cases of striae distensae.…”

Section: Introductionmentioning

confidence: 99%

Fractionated CO2 Laser in the Treatment of Striae Alba in Darker Skinned Patients - A Prospective Study

et al. 2017

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Introduction: In recent years, the positive effect of fractional CO 2 laser on increasing collagen fibers, and consequently its effect on treating striae has been suggested. The present study aims to assess the effectiveness of CO 2 fractional laser 10600-nm in the treatment of striae alba. Methods: In this prospective clinical trial, 2 treatment sessions of fractional CO 2 laser with 4-week interval was given to 30 patients with striae alba. Cutaneous resonance running time (CRRT) was measured at baseline and at week 4 and 3 months after the last session of laser therapy. The level of improvement was assessed by 2 independent dermatologists and patients after 3 months of follow up. Results: 16.7% of patients had moderate improvement, 63.3% had minimal improvement, and 20% had no improvement. A statistical significant difference was found in median CRRT during the study (P < 0.0001). The median CRRT levels were significantly higher in week 4 and 3 months after the last treatment compared to the baseline (both P < 0.001). Likewise, a significant increase was observed in median CRRT level from week 4 till the end of study (P < 0.001). Evaluation of participant satisfaction revealed that 10% were very satisfied, 10% satisfied, 3.3% slightly satisfied, and 76.7% unsatisfied. Conclusion: Striae alba remain a challenging condition to treat. The treatment of striae alba with CO2 fractional laser results in minimal improvement with mild side effects.

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“…[233435] The laser (1550 nm) has shown to reduce dimensions of SD with improved elasticity, colour and skin texture; when used by multiple investigators in different striae like SG,[36] breast striae post-augmentation surgery[37] and steroid-induced striae. [38] Stotland et al has reported overall improvement in dimensions of SD independent of age, gender and skin phototype with the use of 1550 nm, erbium-doped fibre laser; but lesser improvement in dyschromia and texture of striae. [39] Most common adverse events were transient pain, post-treatment erythema, oedema and dyschromia.…”

Section: Non-ablative Lasersmentioning

confidence: 99%

Striae distensae treatment review and update

Lokhande

Mysore²

2019

Indian Dermatol Online J

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Striae distansae (SD) or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50 years of ages. It often causes cosmetic morbidity and psychological distress, particularly in women and in certain professions where physical appearances have significant importance. Of late, with the increasing emphasis on cosmetic management and awareness, patients approach dermatologists for stretch marks treatment. However, despite several advances, no fully effective treatment has emerged. Unfortunately, there is paucity of the strong evidence in the literature for the effective treatment of striae. A literature search using the terms 'striae distansae (SD or stretch marks’ was carried out in the PubMed, Google Scholar and Medline databases. Only articles related to the treatment were considered and analysed for their data. Commonly cited treatments include topical treatments like tretinoin, glycolic acid, ascorbic acid and various lasers including (like) carbon dioxide, Er:YAG, diode, Q-switched Nd:YAG, pulse dye and excimer laser. Other devices like radiofrequency, phototherapy and therapies like platelet rich plasma, chemical peeling, microdermabrasion, needling, carboxytherapy and galvanopuncture have also been used with variable success. This article reviews all currently accepted modalities and their effectiveness in the treatment of stretch marks.

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Striae after topical corticosteroid: Treatment with nonablative fractional laser 1540nm

Cited by 19 publications

References 7 publications

WITHDRAWN: Comparative study between the efficacy of long-pulsed Neodymium- YAG laser and Fractional CO2 laser in the treatment of striae distensae

WITHDRAWN: Comparative study between the efficacy of long-pulsed Neodymium- YAG laser and Fractional CO2 laser in the treatment of striae distensae

Fractionated CO2 Laser in the Treatment of Striae Alba in Darker Skinned Patients - A Prospective Study

Striae distensae treatment review and update

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