The use of energy devices in the treatment of striae: a systematic literature review

Abstract

Background: Striae distensae are caused by rapid stretching of the skin. They are often secondary to obesity or pregnancy and can lead to significant cosmetic disfigurement.

Aim: To determine the efficacy, indications, and side effects of commonly used energy devices in the treatment of striae.

Methods: A comprehensive literature search was performed using the PubMed and Medline databases.

Results: A total of 41 relevant articles were identified. Radiofrequency (RF) was the commonest employed modality (11 studies), followed by the CO₂, and pulsed dye lasers (10 and 5 studies, respectively). The best results against striae alba were seen with a combination of RF, platelet-rich plasma and ultrasound (either excellent or very good results in 71.9%), followed by intense pulsed light in isolation (very good results in 40%). The response of SR was assessed by fewer studies. The best outcomes were seen after treatment with either the Nd:YAG (excellent results in 40% and good in 40%) or Er:Glass lasers (excellent results in 10% and good in 20%).

Conclusions: The therapeutic measures for striae are multiple and no current treatment offers consistent and complete resolution. However, energy devices are a safe and potentially effective modality in the treatment of striae.

Keywords:

• Striae
• lasers
• stretch marks
• scars
• scarring

Disclosure statement

The authors have no conflicts of interest to declare.