This study evaluated the efficacy and safety of a single treatment combining microfocused ultrasound with visualization (MFU-V) and subdermal diluted calcium hydroxylapatite with lidocaine (CaHA+) for Striae Distensae Albae (SDA). Combining 1:1 diluted CaHA with microneedling and topical ascorbic is safe and effective for treating stretch marks. Procedures were well tolerated.Ĭonclusion. Skin biopsies showed increased quantity and quality of collagen and elastin fibers in areas treated with combination therapy. Analysis revealed a significant correlation between Scar Scale scores and Patient Satisfaction scores (r = 0.483 P = 0.003). Subjects were very satisfied (n = 22 62.9%), satisfied (n = 8 22.9%), neither satisfied nor dissatisfied (n = 4 11.4%), or unsatisfied (n = 1 2.8%) with their treatment results. The mean (±SD) pretreatment Manchester Scar Scale scores were 12.0 (☐.8), decreasing to 7.1 (☑.4) 1 month after the final treatment, indicating improvement in stretch mark appearance (P < 0.001). Skin biopsies were obtained from a patient who later underwent abdominoplasty. ![]() Microneedling with ascorbic acid was repeated after 1 and 2 months. This was immediately followed by microneedling and topical application of 20% ascorbic acid. A maximum of 3.0 mL of filler was injected per patient at all skin depths using a 23G needle. CaHA filler was diluted 1:1 with lidocaine 2% without epinephrine. Subjects presented with red (n = 25) or white (n = 10) striae on their buttocks, thighs, knees, abdomen, and breasts. This retrospective study evaluated the effectiveness of this combined therapy. We treat stretch marks using injections of diluted calcium hydroxylapatite (CaHA, Radiesse) filler combined with microneedling and topical ascorbic acid. Methods are available for treating stretch marks, but high-quality evidence supporting their use is limited. ![]() Stretch marks can have a negative psychological impact on some individuals. Histological examination revealed thickening of the epidermis, increases in collagen and elastin fibers.Background. Patient satisfaction was rated as somewhat to highly satisfied in 14 of 16 subjects (87.5%). Physician evaluation of results demonstrated at least minimal to moderate improvement in all patients with marked-to-excellent improvement in seven of the 16 subjects (43.8%). ![]() The only side effects were mild pain and spotty bleeding during treatment, as well as erythema, all of which resolved within days of treatment-no incidence of PIH was recorded. Potential for PIH associated with other modalities is virtually non-existent with Dermapen, which is of special note when considering the treatment of darker-skinned patients, because associated dermal damage indices apoptosis (programmed cell death, rather than necrosis) which does not contribute to inflammation problems.Ī study of microneedle therapy via dermal roller (1.5 mm needle depth) for striae distensae in 16 Korean patients (age range 19 to 44 years) included three treatments with the therapy device at intervals of four weeks. The treatment may also reduce pigmentation and “blur” lines of demarcation which contribute to the visibility of striae. Treatment involves stimulation of neocollagenesis to induce therapeutic skin thickening via creation of zones of damage surrounded by healthy tissue. Additionally, Dermapen therapy is inexpensive and easy to perform and tolerate when compared to alternatives. Microneedling with Dermapen is an ideal therapy for stretch marks it is excellent for atrophic scars and stretch marks can be seen as areas of mild atrophic scarring. Post-inflammatory hyperpigmentation (PIH) is also a concern with fractional laser therapy. One drawback to more aggressive methods such as fractional laser therapy is that often, stretch marks commonly appear in areas where skin is thin and sensitive, which are less than ideal conditions for laser therapies. Therapeutic options in the clinical setting include topical tretinoin or trofolastin, chemical peels, microdermabrasion, non-invasive radiofrequency devices, and a variety of laser- and light-based modalities including fractional laser therapy. ![]() Additionally, Dermapen therapy is inexpensive, and is easy to perform and tolerate when compared to alternatives. It is excellent for areas of atrophic scarring, and stretch marks can be seen as areas of mild atrophic scarring. Microneedling with Dermapen is an ideal therapy for stretch marks. Striae distensae, also known as stretch marks, are similar to mild atrophic scarring associated with discoloration and “thinning” of the skin.
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