Author |
Guimarães, Paulo Afonso Monteiro Pacheco
![]() ![]() Haddad, Alessandra ![]() ![]() Sabino Neto, Miguel ![]() ![]() Lydia Masako Ferreira, Fabiana Claudino Lage ![]() ![]() |
Institution | Universidade Federal de São Paulo (UNIFESP) |
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. (Plast. Reconstr. Surg. 131: 636, 2013.) |
Language | English |
Date | 2013-03-01 |
Published in | Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 131, n. 3, p. 636-642, 2013. |
ISSN | 0032-1052 (Sherpa/Romeo, impact factor) |
Publisher | Lippincott Williams & Wilkins |
Extent | 636-642 |
Origin |
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Access rights | Closed access |
Type | Article |
Web of Science ID | WOS:000315573400069 |
URI | http://repositorio.unifesp.br/handle/11600/36056 |
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