Indian Journal of Dermatology
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DERMATOSURGERY ROUND
Year : 2016  |  Volume : 61  |  Issue : 2  |  Page : 174-180

Fractional CO2laser versus intense pulsed light in treating striae distensae


1 Department of Dermatology, Venereology and Andrology, Qina Faculty of Medicine, South Valley University, Qena, Egypt
2 Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Asyut, Egypt

Correspondence Address:
Moustafa Adam El Taieb
Department of Dermatology, Venereology and Andrology, Qina Faculty of Medicine, South Valley University, Qena
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.177774

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Context: Striae distensae are linear atrophic dermal scars covered with flat atrophic epidermis. They may cause disfigurement, especially in females. Many factors may cause striae distensae such as steroids, obesity, and pregnancy. Although there is no standard treatment for striae; many topical applications, peeling, and light and laser systems have been tried. Aims: To evaluate and compare the efficacy of fractional CO2laser with intense pulse light in treating striae distensae. Subjects and Methods: Forty patients with striae distensae were recruited. Twenty of them were treated by fractional CO2laser and 20 were treated with intense pulse light. Length and width of the largest striae were measured pre- and post-treatment. Patient satisfaction was also evaluated and graded. Patients were photographed after each treatment session and photos were examined by a blinded physician who had no knowledge about the cases. Results: Both groups showed significant improvement after treatments (P < 0.05). Patients treated with fractional CO2laser showed significant improvement after the fifth session compared with those treated with ten sessions of intense pulsed light (P < 0.05) in all parameters except in the length of striae (P > 0.05). Conclusions: The current study has provided supportive evidence to the effectiveness of both fractional CO2laser and intense pulse light as treatments for striae distensae. Fractional CO2laser was found to be more effective in the treatment of striae distensae compared with intense pulse light.


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