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J Dermatolog Treat. 2019 May;30(3):294-302. doi: 10.1080/09546634.2018.1506078. Epub 2018 Sep 7.

The use of energy devices in the treatment of striae: a systematic literature review.

Author information

1
a Department of Dermatology , Bristol Royal Infirmary , Bristol , UK.
2
b Department of Dermatology , Leicester Royal Infirmary , Leicester , UK.
3
c Department of Dermatologic Surgery and Laser Unit, St. John's Institute of Dermatology , St. Thomas' Hospital , London , UK.

Abstract

BACKGROUND:

Striae distensae are caused by rapid stretching of the skin. They are often secondary to obesity or pregnancy and can lead to significant cosmetic disfigurement.

AIM:

To determine the efficacy, indications, and side effects of commonly used energy devices in the treatment of striae.

METHODS:

A comprehensive literature search was performed using the PubMed and Medline databases.

RESULTS:

A total of 41 relevant articles were identified. Radiofrequency (RF) was the commonest employed modality (11 studies), followed by the CO2, and pulsed dye lasers (10 and 5 studies, respectively). The best results against striae alba were seen with a combination of RF, platelet-rich plasma and ultrasound (either excellent or very good results in 71.9%), followed by intense pulsed light in isolation (very good results in 40%). The response of SR was assessed by fewer studies. The best outcomes were seen after treatment with either the Nd:YAG (excellent results in 40% and good in 40%) or Er:Glass lasers (excellent results in 10% and good in 20%).

CONCLUSIONS:

The therapeutic measures for striae are multiple and no current treatment offers consistent and complete resolution. However, energy devices are a safe and potentially effective modality in the treatment of striae.

KEYWORDS:

Striae; lasers; scarring; scars; stretch marks

PMID:
30049244
DOI:
10.1080/09546634.2018.1506078
[Indexed for MEDLINE]

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