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Plast Reconstr Surg. 2013 Mar;131(3):636-42. doi: 10.1097/PRS.0b013e31827c7010.

Striae distensae after breast augmentation: treatment using the nonablative fractionated 1550-nm erbium glass laser.

Author information

1
Division of Plastic Surgery, Universidade Federal de São Paulo, Rua Napoleão de Barros 715, 4o. andar, CEP 04024-002 São Paulo, Brazil. pa.cirurgia@gmail.com

Abstract

BACKGROUND:

Stretch marks, or striae distensae, are dermal scars and result in considerable aesthetic concern. The responsible factors for their development are poorly understood. Development of striae distensae is a rare complication after breast augmentation. Successfully treating striae distensae has always been challenging. Lasers and light devices have recently become a good therapeutic option. The fractional laser has shown encouraging results with less risk of pigmentation in the treatment of recent stretch marks.

METHODS:

Forty-seven patients underwent breast augmentation over a period of 2 months; of these, 10 patients developed new striae distensae. They were submitted to nonablative fractionated 1550-nm erbium glass laser treatment. Response was assessed from photographs obtained before and 4 weeks after the end of treatment. Two plastic surgeons analyzed improvements clinically and photographically, and a patient satisfaction score was recorded as well.

RESULTS:

There was a significant relationship between age and development of striae, (p = 0.003), but there was no significant relationship between striae distensae and nulliparity (p = 0.147), volume of the silicone implant (p = 0.892), or use of oral contraceptive (p = 1.00). The scores achieved by both the evaluators and the patients were high, with 50 percent of them between 9 and 10 (maximum scores), and with a high index of satisfaction with the treatment.

CONCLUSIONS:

Age is statistically significant in the development of striae distensae after breast augmentation. This report demonstrates excellent patient and plastic surgeon satisfaction after treatment. The use of fractional photothermolysis is a good treatment modality for striae rubrae.

PMID:
23446573
DOI:
10.1097/PRS.0b013e31827c7010
[Indexed for MEDLINE]

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