title: Striae distensae after breast augmentation: treatment using the nonablative fractionated 1550-nm erbium glass laser.
abstract: BACKGROUND
  Stretch marks, or striae distensae, are dermal scars and result in considerable aesthetic concern. The responsible factors for their development are poorly understood. Development of striae distensae is a rare complication after breast augmentation. Successfully treating striae distensae has always been challenging. Lasers and light devices have recently become a good therapeutic option. The fractional laser has shown encouraging results with less risk of pigmentation in the treatment of recent stretch marks.
  
  
  METHODS
  Forty-seven patients underwent breast augmentation over a period of 2 months; of these, 10 patients developed new striae distensae. They were submitted to nonablative fractionated 1550-nm erbium glass laser treatment. Response was assessed from photographs obtained before and 4 weeks after the end of treatment. Two plastic surgeons analyzed improvements clinically and photographically, and a patient satisfaction score was recorded as well.
  
  
  RESULTS
  There was a significant relationship between age and development of striae, (p = 0.003), but there was no significant relationship between striae distensae and nulliparity (p = 0.147), volume of the silicone implant (p = 0.892), or use of oral contraceptive (p = 1.00). The scores achieved by both the evaluators and the patients were high, with 50 percent of them between 9 and 10 (maximum scores), and with a high index of satisfaction with the treatment.
  
  
  CONCLUSIONS
  Age is statistically significant in the development of striae distensae after breast augmentation. This report demonstrates excellent patient and plastic surgeon satisfaction after treatment. The use of fractional photothermolysis is a good treatment modality for striae rubrae.
authors: São Paulo, Brazil From the Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo.
authors: Paulo Afonso Monteiro
authors: PAM
authors: Pacheco Guimarães
authors: Alessandra
authors: A
authors: Haddad
authors: Miguel
authors: M
authors: Sabino Neto
authors: Fabiana Claudino
authors: FC
authors: Lage
authors: Lydia Masako
authors: LM
authors: Ferreira
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects*; D004871:Erbium; D005260:Female; D006801:Humans; D053844:Lasers, Solid-State; D012189:Retrospective Studies; D057896:Striae Distensae / Q000209:etiology* / Q000601:surgery*; D055815:Young Adult
chemical_list: D004871:Erbium