Clinical, Cosmetic and Investigational Dermatology (Aug 2022)
Comparative Study Between the Efficacy of Fractional CO2 Laser/Radiofrequency, PRP and a Combination of Both in the Treatment of Striae Distensae: A Pilot Study
Abstract
Iman Sany,1 Rehab Mohamed Sobhi,1 Ashraf Badawi,2,3 Zeinab Mohamed Elmaadawi,4 Pakinam Ibrahim Nabil Mostafa1 1Department of Dermatology, Kasr Alainy Medical School, Cairo University, Cairo, Egypt; 2Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University, Cairo, Egypt; 3Department of Dermatology, Faculty of Medicine, University of Szeged, Szeged, Hungary; 4Department of Histology & Cell Biology, Kasr Alainy Medical School, Cairo University, Cairo, EgyptCorrespondence: Pakinam Ibrahim Nabil Mostafa, Lecturer of Dermatology, Kasr Alainy Medical School, Cairo University, PO Box 11519, 4 Gemey St, Garden City, Cairo, Egypt, Tel +201002576451, Email [email protected]: The work aims to compare the effect of platelet-rich plasma versus fractional CO22 laser/radiofrequency versus both methods combined in treating striae distensae.Patients & Methods: The study included ten female patients with striae alba with Fitzpatrick IV skin. Three sites of striae were chosen; one was treated with platelet-rich plasma, another with fractional CO2 /radiofrequency (CO2/RF), and the third received both treatments. Every patient received three treatment sessions one month apart. Patients were photographed, and a skin biopsy was taken from each area before and one month after treatment.Results: Assessment of the clinical photos showed that fractional CO2/radiofrequency gave a mild improvement in 22%, moderate improvement in 55.5% and marked improvement in 22.5%. Clinically, the combined treatment showed mild improvement in 44% of patients, moderate results in 33% and marked improvement in 23% of patients. The PRP as an only mode of treatment showed poor improvement in 22%, mild improvement in 23% and moderate improvement in 55% of patients. Biopsy results showed a decrease in collagen and elastin after treatment with the solitary methods, while the combined approach resulted in an increase in collagen and a reduction in elastin.Conclusion: Fractional CO2 laser/radiofrequency combined with PRP or either of them showed clinical improvement to variable degrees with superior results clinically and histologically with the combined method.Keywords: fractional CO2 laser radiofrequency, platelet rich plasma, PRP, striae distensae
