Treatment of mature striae with the pulsed dye laser.

J Cutan Laser Ther

Department of Dermatology, New York University Medical Center, 530 First Avenue, Suite 7R, New York, NY 10016, USA.

Published: January 1999

AI Article Synopsis

  • A recent study explored the use of a 585-nm pulsed dye laser (PDL) to treat mature striae, a common cosmetic concern with limited treatment options.
  • Five patients underwent PDL treatment every two months for 1-2 years, with evaluations focusing on clinical, photographic, textural, and histological changes.
  • While all patients reported slight subjective improvement, objective assessments showed no significant changes, indicating that while the laser may offer some mild benefit, it does not lead to substantial clinical or structural improvement in striae.

Article Abstract

Introduction: Striae are a common cosmetic problem with no effective treatment options. A recent study has shown improvement in the appearance of mature striae following a single 585-nm pulsed dye laser (PDL) treatment at low fluence.

Objective: To evaluate the effectiveness of treating mature striae with the 585-nm PDL.

Methods: Five patients with mature striae on the abdomen were prospectively treated with the 585-nm PDL at 2-month intervals for 1-2 years. The response of the striae to laser treatment was evaluated in each patient through sequential clinical, photographic, textural, and histologic assessment.

Results: All five patients reported a slight overall improvement in the appearance of the striae following multiple PDL treatments. Comparison of pre- and post-treatment photographs, however, failed to reveal improvement in any patients. Optical profilometry performed on striae impressions showed mild improvement in the surface texture of striae in three patients. Histologic comparison of pre- and post-treatment biopsy specimens failed to reveal normalization of skin architecture.

Conclusions: Serial treatment of mature striae with the PDL results in mild, subjective, clinical improvement but no significant photographic, textural or histologic improvement.

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http://dx.doi.org/10.1080/14628839950517084DOI Listing

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