Striae Distensae after Breast Augmentation: Treatment Using the Nonablative Fractionated 1550-nm Erbium Glass Laser

Striae Distensae after Breast Augmentation: Treatment Using the Nonablative Fractionated 1550-nm Erbium Glass Laser

Author Guimarães, Paulo Afonso Monteiro Pacheco Autor UNIFESP Google Scholar
Haddad, Alessandra Autor UNIFESP Google Scholar
Sabino Neto, Miguel Autor UNIFESP Google Scholar
Lydia Masako Ferreira, Fabiana Claudino Lage Autor UNIFESP Google Scholar
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 http://dx.doi.org/10.1097/PRS.0b013e31827c7010
Access rights Closed access
Type Article
Web of Science ID WOS:000315573400069
URI http://repositorio.unifesp.br/handle/11600/36056

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