Combined Fractional CO 2 Laser With Intradermal Platelet-Rich Plasma versus Fractional CO 2 Laser Alone in the Treatment of Striae Distensae.
Journal
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
ISSN: 1524-4725
Titre abrégé: Dermatol Surg
Pays: United States
ID NLM: 9504371
Informations de publication
Date de publication:
01 06 2023
01 06 2023
Historique:
medline:
2
6
2023
pubmed:
23
3
2023
entrez:
22
3
2023
Statut:
ppublish
Résumé
Striae distensae (SD) or stretch marks are common cutaneous conditions that occur because of the stretching of the dermis.OBJECTIVE To evaluate and compare the efficacy of fractional carbon dioxide (CO 2 ) laser alone versus combined fractional CO 2 laser with platelet-rich plasma (PRP) in SD treatment. Thirty adult female patients with SD (SR and SA) were enrolled. In each patient, a split-lesion design was conducted as follows: pairs of SD on both sides of the midline were selected and allocated to groups A and B. Group A: was treated with combined fractional CO 2 laser with intradermal PRP. Group B: was treated with fractional CO 2 laser alone. Skin biopsies were taken from the lesions before and after treatment for histopathologic evaluation. In group A, a significant excellent improvement of the SD was achieved more than in group B ( p = .007) and the mean of improvement was significantly higher (60.33 ± 26.49) than that in group B (43.80 ± 27.43) ( p -value = .001). Group A was also associated with a more significant dermal deposition of collagen and elastic fibers. Combined fractional CO 2 laser with PRP was more effective than fractional CO 2 laser alone for the treatment of SD.
Sections du résumé
BACKGROUND
Striae distensae (SD) or stretch marks are common cutaneous conditions that occur because of the stretching of the dermis.OBJECTIVE To evaluate and compare the efficacy of fractional carbon dioxide (CO 2 ) laser alone versus combined fractional CO 2 laser with platelet-rich plasma (PRP) in SD treatment.
METHODS AND MATERIALS
Thirty adult female patients with SD (SR and SA) were enrolled. In each patient, a split-lesion design was conducted as follows: pairs of SD on both sides of the midline were selected and allocated to groups A and B. Group A: was treated with combined fractional CO 2 laser with intradermal PRP. Group B: was treated with fractional CO 2 laser alone. Skin biopsies were taken from the lesions before and after treatment for histopathologic evaluation.
RESULTS
In group A, a significant excellent improvement of the SD was achieved more than in group B ( p = .007) and the mean of improvement was significantly higher (60.33 ± 26.49) than that in group B (43.80 ± 27.43) ( p -value = .001). Group A was also associated with a more significant dermal deposition of collagen and elastic fibers.
CONCLUSION
Combined fractional CO 2 laser with PRP was more effective than fractional CO 2 laser alone for the treatment of SD.
Identifiants
pubmed: 36946771
doi: 10.1097/DSS.0000000000003763
pii: 00042728-202306000-00003
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
552-558Informations de copyright
Copyright © 2023 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
Références
Al-Himdani S, Ud-Din S, Gilmore S, Bayat A. Striae distensae: a comprehensive review and evidence-based evaluation of prophylaxis and treatment. Br J Dermatol. 2014; 170:527–47.
Hague A, Bayat A. Therapeutic targets in the management of striae distensae: a systematic review. J Am Acad Dermatol. 2017; 77,559–68.e18.
Lu H, Guo J, Hong X, Chen A, Zhang X, Shen S. Comparative effectiveness of different therapies for treating striae distensae: a systematic review and network meta-analysis. Medicine. 2020; 99.e22256,
Ud-Din S, McGeorge D, Bayat A. Topical management of striae distensae (stretch marks): prevention and therapy of striaerubrae and albae. J Eur Acad Dermatol Venereol. 2016; 30: 211–22.
Elsaie ML, Baumann LS, Elsaaiee LT. Striae distensae (stretch marks) and different modalities of therapy: an update. Dermatol Surg. 2009; 35:563–73.
Aldahan AS, Shah VV, Mlacker S, Samarkandy S, Alsaidan M, Nouri K. Laser and light treatments for striae distensae: a comprehensive review of the literature. Am J ClinDermatol.2016; 17:239–56.
Wang JV, Kream EJ, Munavalli GS, Geronemus RG. Experiences and perspectives of patients with striae: a survey with treatment implications. Dermatol Surg. 2021; 47:1408–10.
Forbat E, Al-Niaimi F. Treatment of striae distensae: an evidence-based approach. J Cosmet Laser Ther.2019; 21:49–57.
Heitmiller K, Wang JV, Murgia RD, Saedi N. Utility of platelet-rich plasma for treatment of striaedistensae: a current exploration. J Cosmet Dermatol. 2021; 20:437–41.
Wang JV, Shah S, Albornoz CA, Murgia RD, Saedi N. Oral collagen, stem cells, and platelet-rich plasma in aesthetics: a national consumer survey. Clin Dermatol. 2021; 39:123–5.
Ismail SA, Khella NAH, Abou-Taleb DAE. Which is more effective in atrophic acne scars treatment microneedling alone or platelet rich plasma alone or combined both therapeutic modalities? Dermatol Ther. 2022; 35 e15925. doi:10.1111/dth.15925.
doi: 10.1111/dth.15925
Disphanurat W, Kaewkes A, Suthiwartnarueput W. Comparison between topical recombinant human epidermal growth factor and Aloe vera gel in combination with ablative fractional carbon dioxide laser as treatment for striae alba: a randomized double-blind trial. Lasers Surg Med 2019; 52,166–75.
Ibrahim ZAES, El-Tatawy RA, El-Samongy MA, Ali DAM. Comparison between the efficacy and safety of platelet-rich plasma vs. microdermabrasion in the treatment of striae distensae: clinical and histopathological study. J Cosmet Dermatol. 2015;14:336–46.
Shin JU, Roh MR, Rah DK, Ae NK, Suh H, Chung KY. The effect of succinylatedatelocollagen and ablative fractional resurfacing laseron striae distensae.J Dermatol Treat. 2011; 22:113–21.
Sobhi RM, Mohamed IS, El Sharkawy DA, El Wahab MAEFA. Comparative study between the efficacy of fractional micro-needle radiofrequency and fractional CO 2 laser in the treatment of striae distensae. Lasers Med Sci.2019; 34:1295–304.
Rahman Z, MacFalls H, Jiang K, et al, . Fractional deep dermal ablation induces tissue tightening. Lasers Surg Med. 2009; 41:78–86.
Stamatas GN, Lopes-DaCunha A, Nkengne A, Bertin C. Biophysical properties of Striae Distensae evaluated in vivo using non-invasive assays. Skin Res Technol. 2015; 21:254–8.
Khater MH, Khattab FM, Abdelhaleem MR Treatment of striae distensae with needling therapy versus CO 2 fractional laser. J Cosmet Laser Ther. 2016; 18,75–9.
El Taieb M, Ibrahim A. Fractional CO 2 laser versus intense pulsed light in treating striae distensae .Indian J Dermatol. 2016; 61:174–80.
Ryu HW, Kim SA, Jung HR, Ryoo YW, Lee KS, Cho JW. Clinical improvement of striae distensae in Korean patients using a combination of fractionated microneedle radiofrequency and fractional carbon dioxide laser, Dermatol Surg. 2013; 39: 1452–8.
Naeini FF, Behfar S, Abtahi-Naeini B, Keyvan S, Pourazizi M. Promising option for treatment of striae alba: fractionated microneedle radiofrequency in combination with fractional carbon dioxide laser. Dermatol Res Pract. 2018; 28:1–7.
Ahmed NA, Mostafa OM. Comparative study between: carboxytherapy, platelet rich plasma, and tripolar radiofrequency, their efficacy and tolerability in striae distensae. J Cosmet Dermatol. 2018; 18:788–97.
Tehranchinia Z, Mahboubianfar A, Rahimi H, Saedi N. Fractionated CO 2 laser in the treatment of striae alba in darker skinned patients – a prospective study. J Lasers Med Sci. 2017; 9: 15–8.
Lee SE, Kim JH, Lee SJ, Lee JE, Kang JM, Kim YK, Bang D, Cho SB. Treatment of striae distensae using an ablative 10,600-nm carbon dioxide fractional laser: a retrospective review of 27 participants. Dermatol Surg. 2010; 36:1683–90.
Abdallah M, Fahmy H, Abdel Hameed S, Mostafa AE. Ablative fractional CO 2 laser vs lyophilized growth factor intralesional injection vs combination of both modalities for striae distensae treatment. J Cosmet Dermatol. 2020; 20:472–80.
Kim IS, Park KY, Kim BJ, Kim MN, Kim CW, Kim SE. Efficacy of intradermal radiofrequency combined with autologous platelet-rich plasma in striae distensae: a pilot study. Int J Dermatol.2012; 51:1253–8.