Explore chapters and articles related to this topic
Adapting Injection Techniques to Different Regions
Published in Yates Yen-Yu Chao, Sebastian Cotofana, Anand V Chytra, Nicholas Moellhoff, Zeenit Sheikh, Adapting Dermal Fillers in Clinical Practice, 2022
Yates Yen-Yu Chao, Sebastian Cotofana, Nicholas Moellhoff
Laxity of tissue and striae distensae are the main reasons for which patients request treatment. Iatrogenic or trauma-related abdominal wall defects could be improved with fillers through volume restoration.
Dermatoses of Pregnancy
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
Hannah J. Anderson, Dana Correale, Jason B. Lee
Striae distensae (SD), or stretch marks, do not represent a disease, but rather are a cosmetic problem for many people. They often occur for the first time during pregnancy and are referred to as SG. SD initially appear as linear patches that are red to purple in color and lack noticeable surface change (striae rubra). With time, their color fades to lighter than normal skin tone. They become atrophic or depressed with a fine, wrinkled surface (striae alba).
Dermatologic diseases and pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Holly Edmonds, Dana Ward, Ann G. Martin, Susana Leal-Khouri
Striae distensae, or stretch marks, are linear violaceous bands, which progress over time to pink or white atrophic lines. Striae develop opposite to skin tension lines on the abdomen, breast, upper arms, lower back, buttocks, thighs, and groin and are reported to occur in 55% to 90% of pregnant women during the 6th and 7th months (1–3,20–22).
A comparison study of the 0.1% tretinoin cream versus fractional microneedle radiofrequency combination with fractional CO2 laser for the treatment of striae alba in Indonesian patients
Published in Journal of Cosmetic and Laser Therapy, 2021
M. Yulianto Listiawan, Cita Rosita Sigit Prakoeswa, Linda Astari, Iskandar Zulkarnain, Putri Hendria Wardhani, Densy Violina Harnanti
Striae distensae (SD) or stretch marks are linear scar tissue in the dermis that arises from stretching the skin beyond its elastic limit on weak connective tissue (1). There are two types of SD, namely striae rubrae (SR) which is the initial phase and is marked by an erythematous line and striae albae (SA) which is marked with a line hypopigmentation, while the epidermis and dermis atrophy. The most common locations for SD include the stomach, breasts, upper arms, buttocks and thighs (1,2). Striae distensae prevalence is up to 88% in all races. Striae distensae is a skin condition that can cause significant distress and can become a psychological problem, especially for someone with a profession such as a model or actress and in the darker skin type, so that it can hinder work or social life. Stretching that occurs in the epidermis and dermis in SD which is characterized by atrophy can interfere the function of the skin barrier and even disrupt transepidermal water loss [2,3]. Although the causes for the emergence of SD are still not known with certainty, there are several theories explaining the causes and risk factors for SD. Causes of SD include rapid weight change, adolescent puberty growth, local and systemic use of corticosteroids, and Cushing’s syndrome (2, 4). Rapid stretching of the skin that exceeds the elasticity limit results in mechanical stress and inflammation which causes an increase in proteolytic enzymes which results in decreased fibroblast activity and extracellular matrix (ECM) components, this affects the matrix in the dermis and results in reduced collagen and SD formation (5,6).
The use of energy devices in the treatment of striae: a systematic literature review
Published in Journal of Dermatological Treatment, 2019
Georgios Kravvas, David Veitch, Firas Al-Niaimi
Striae distensae (SD), also known as stretch marks, are common cutaneous lesions characterized by linear bands of atrophic skin (1). They represent dermal scars with epidermal atrophy and pose a common source of cosmetic concern (2). SD result from changes in the reticular collagen, caused by rapid stretching of the skin, and are usually multiple and symmetrically distributed (3). The commonest affected sites include the abdomen, outer thighs, and breasts (4). Even though the exact pathogenesis is poorly understood, striae are commonly associated with mechanical stress (rapid weight changes and growth spurt) and hormonal changes (pregnancy, oral contraceptive use, increased adrenocortical function, and corticosteroid therapy) (3,4). The evolution of SD proceeds through several stages. In the acute stage they may be thin, pink and even pruritic. Over time they usually enlarge in length and width, may become raised, and acquire a reddish-purple appearance (striae rubra – SR). Finally, they become flat or depressed and hypopigmented (striae alba – SA) (1,3,5).
Treatment of striae distensae: An evidence-based approach
Published in Journal of Cosmetic and Laser Therapy, 2019
Striae distensae (SD), otherwise known as “stretchmarks,” are a common presenting complaint, particularly in young healthy women. The incidence is poorly documented within the literature, with one study reporting an incidence of up to 87.7% (1). Although benign, they can cause considerable psychological distress. Causes can be both physiological and pathological, such as growth spurts, obesity, pregnancy or steroid application (topical or systemic), Cushing’s syndrome, or surgery-induced such as breast augmentation. Histologically it is thought that collagen bundle damage and elastic fibers/fibrillin changes contribute to their appearance (2); however, the pathogenesis of SD is thought to be multifactorial with mechanical stress, genetic influences, and hormones all contributing toward it (3). Ultimately the diagnosis is a clinical one, with SD manifesting initially as linear red plaques – striae rubra (SR), which then progress to linear atropic plaques – striae alba (SA). The most common sites are the breast, abdomen, buttocks, and thigh muscle.