Treatment of striae distensae with needling therapy versus CO<sub>2</sub>fractional laser

Khater, Mohamed Hamed; Khattab, Fathia M; Abdelhaleem, Manal

doi:10.3109/14764172.2015.1063665

Cited by 42 publications

(33 citation statements)

References 19 publications

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“…Biopsies have been used as a more objective evaluated tool, but are invasive procedure and may result in scarring, which is not acceptable for all patients. 1,2,6,10,11,26,27 A non-invasive but objective evaluation method for SD treatment has thus been urgently needed.…”

Section: Discussionmentioning

confidence: 99%

“…9 Recently, the fractional CO 2 laser has become the most widely used atrophic scar and SD treatment approach. 4,[9][10][11][12][13][14] Fractional photothermolysis can stimulate collagen remodelling, and its efficacy in this regard has been confirmed in several studies. 4 Radiofrequency (RF) devices work by emitting an RF current to the target tissue, which is then converted to heat and causes collagen denaturation and neocollagenesis.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the results in most prior studies have indicated a higher patient satisfaction level in free trials but that the level of outcome improvement does not always align with patient satisfaction. 11,20 The use of objective analysis methods to assess SD interventions is therefore a pressing need.…”

Section: Introductionmentioning

confidence: 99%

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Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae

Al-Muriesh

Huang

et al. 2020

Acad Dermatol Venereol

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Backgrounds Striae distensae (SD) has a known psychological impact due to the resulting cosmetic disfigurement. Many treatment modalities have been used over the years, but no standard interventions or evaluation methods have been proposed to date. Objective We compared the efficacy and safety of non-insulated microneedle radiofrequency (NIMRF) and fractional CO 2 laser treatments of SD by objective measurements with dermoscopy and VISIA. Methods Fourteen females with severe SD were enrolled. These subjects had been treated three sessions of NIMRF and fractional CO 2 laser for the right and left abdomen, respectively. Dermoscopy and VISIA imaging data, and photographs were collected at baseline and 2 months after the last treatment session. The global aesthetic improvement scale (GIAS) was scored by patients, and blinded investigators, pain score and satisfaction score were also documented. Any side effects were recorded. Results Ten patients completed the study. The GIAS from investigators and patients showed an overall improvement but without a significant difference (P = 0.18, P = 0.17, respectively). The decreased width measured by dermoscopy was between 5% and 32% (right side) and 6-31% (left side). There was no significant difference between both sides in either the per-protocol or intention to treat analyses (P = 0.149, P = 0.161, respectively). The mean pain score was 5.35 and 2.35 on the right side and left side, respectively, which was significant (P = 0.0016). Post-inflammatory hyperpigmentation (PIH) manifested in six patients on their left sides and four patients on their right sides. In most cases, this had resolved by the 3-month follow-up. Conclusion Non-insulated microneedle radiofrequency and fractional CO 2 laser are both effective and safe treatment options for SD. PIH is a possible side effect but is more likely with fractional CO 2 laser treatment. However, it clears up in most cases. Dermoscopy and VISIA are both convenient, digitalized methods of tracking subtle changes and monitoring the efficacy of SD treatments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae

Al-Muriesh

Huang

et al. 2020

Acad Dermatol Venereol

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“…In 10% of participants who underwent three laser treatments the improvement was “good,” in 30% it was “moderate,” and in 10% it was “poor.” Fifty percent of persons did not observe any improvement after laser therapy, while only 10% did not benefit from mesotherapy. The above results were obtained by comparing photographs taken before and after a series of treatments, as well as by using questionnaires assessing the satisfaction of participants with obtained effects (Khater, Khattab, & Abdelhaleem, ).…”

Section: Main Indications For the Application Of Microneedlingmentioning

confidence: 99%

Is skin microneedling a good alternative method of various skin defects removal

Zduńska

Kołodziejczak

Rotsztejn

2018

Dermatologic Therapy

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Skin microneedling accelerates the process of skin regeneration through the creation of numerous microinjuries which emerge when skin is deeply punctured with very thin needles. The whole procedure evokes various reactions which can be divided into three major phases: inflammation, proliferation, and remodeling. It activates platelet growth factors which are responsible for the stimulation of fibroblasts to produce collagen and elastin. Moreover, skin breakdown enhances penetration of active ingredients. Treatment can be performed with the use of different devices, all equipped with needles of various lengths. Due to the fact that skin microneedling stimulates the synthesis of significant rebuilding and structural skin elements (collagen, elastin, proteoglycan), it is used in the treatment of many skin defects of different etiologies (e.g., photoaging, wrinkles, loss of elasticity, hypo‐ or hypertrophic scars, pigmentation changes, infraorbital dark circles, teleangiectasia, stretch marks, cellulite, alopecia, and vitiligo). In order to accelerate postsurgical regeneration and/or to enhance effects, microneedling is combined with the application of UV light (photodynamic therapy with ALA), LED light, platelet‐rich plasma, chemical peels, stem cells, retinoids and other pharmaceuticals, and vitamins. High effectiveness, limited number of side effects, and short recovery time, make skin microneedling a popular cosmetic, and medical treatment.

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“…Result from the combination of constitutional genetic factors, hormonal and mechanical where the glicocorticoides inhibit the activity and the proliferation of fibroblasts more frequent in younger individuals, in adolescence and pregnancy, although it appears at any stage of life [4,8,9]. Themost commonly affected sites are the breasts, arms, abdomen, buttocks and thighs [4].…”

Section: Introductionmentioning

confidence: 99%

Protocols for the Treatment of Stretch Marks of the Skin: A Systematic Review of Intervention

Soares¹,

Benvindo²,

Braz³

et al. 2019

IJSR

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Introduction: The splines are dermal parallel linear macroscopically apparent scars associated with the atrophy of the epidermis. A desfigurante and aestética condition of skin; if present as splines rubras, who are recent, and the psychological comimpacto white striations in patients and without therapeutic options for effective reversal. Objective: To assess randomized clinical tests to demonstrate therapeutic effectiveness of protocols used in dermal splines. Method: Searches of major studies in electronic databases (BVS; MEDLINE/PubMed®; EMBASE; LILACS; Cochrane Library), with search strategy through the following descriptors indexed (DeCS and MeSH). Results: Fourteen manuscripts met the eligibility criteria, but without fully effective results. Limitations in the studies are related to the limited number of patients and high-risk or risk of bias uncertain. Conclusion: More detail and clarity in trials are necessary for more consistent decisions.

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Treatment of striae distensae with needling therapy versus CO₂fractional laser

Abstract: The results support the use of microneedle therapy over CO2 lasers for striae treatment.

Cited by 42 publications

References 19 publications

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae

Is skin microneedling a good alternative method of various skin defects removal

Protocols for the Treatment of Stretch Marks of the Skin: A Systematic Review of Intervention

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Treatment of striae distensae with needling therapy versus CO2fractional laser

Abstract: The results support the use of microneedle therapy over CO2 lasers for striae treatment.

Cited by 42 publications

References 19 publications

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO2 laser treatments of striae distensae

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO2 laser treatments of striae distensae

Is skin microneedling a good alternative method of various skin defects removal

Protocols for the Treatment of Stretch Marks of the Skin: A Systematic Review of Intervention

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Product

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Treatment of striae distensae with needling therapy versus CO₂fractional laser

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae

Dermoscopy and VISIA imager evaluations of non‐insulated microneedle radiofrequency versus fractional CO₂ laser treatments of striae distensae