Lasers for treating striae: An emergent need for better evidence

Sardana, Kabir

doi:10.4103/0378-6323.140288

Cited by 9 publications

(6 citation statements)

References 8 publications

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“…23,24 Several studies have reported the improvement of the clinical appearance of striae with 585-nm pulsed dye laser (PDL) via enhancement of the extracellular matrix collagen. [25][26][27][28] In addition, it has a modest efficacy in decreasing the erythema of striae rubra; however, it has [29][30][31][32] More recently, there has been evidence that indicates the benefits of both fractionated non-ablative and ablative lasers in increasing collagen fibers, and improving the appearance of striae alba. Our study aimed to assess the effectiveness a fractionated CO 2 in the treatment of striae alba, especially in darker skin types.…”

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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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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“…To the best of our knowledge, the present study is the first to show the effectiveness of galvanopuncture in the treatment of striae alba. Remarkably, the best outcome was observed in a subject with darker skin, which is usually the most difficult skin type to have striae improvement . Although the limitation of the present study includes the lack of histological assessment and a longer follow‐up period as well as the absence of a blinded evaluation of improvement, galvanopuncture seems to be very useful and safe for the treatment of hypopigmented striae.…”

Section: Discussionmentioning

confidence: 72%

“…Remarkably, the best outcome was observed in a subject with darker skin, which is usually the most difficult skin type to have striae improvement. 17 Although the limitation of the present study includes the lack of histological assessment and a longer follow-up period as well as the absence of a blinded evaluation of improvement, galvanopuncture seems to be very useful and safe for the treatment of hypopigmented striae. We provided evidences that microamperage stimulation by galvanopuncture is a helpful method for striae alba.…”

Section: Discussionmentioning

confidence: 77%

Safety and patient subjective efficacy of using galvanopuncture for the treatment of striae distensae

Bitencourt

Lunardelli²,

Amaral

et al. 2016

J of Cosmetic Dermatology

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“…Even though the lasers are thought to have role in the SD, body's normal healing process also goes hand in hand with it, which might be contributing to the results of the lasers. [57]…”

Section: Copper-bromide Lasermentioning

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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Lasers for treating striae: An emergent need for better evidence

Cited by 9 publications

References 8 publications

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

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

Safety and patient subjective efficacy of using galvanopuncture for the treatment of striae distensae

Striae distensae treatment review and update

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