Efficacy and safety of Carboxitherapy associated with High Volt current in the treatment of atrophic stretch marks on glutes
DOI:
https://doi.org/10.33448/rsd-v9i11.10430Keywords:
Stretch marks; Elasticity; Electrical stimulation; Skin; Fibroblasts.Abstract
Introduction: stretch marks are multifactorial unsightly conditions and for their treatment, resources are needed to stimulate a new process of tissue repair and regeneration. Objective: to evaluate the efficacy and safety of carboxitherapy associated with high volt current in the treatment of atrophic stretch marks. Method: This is a clinical, longitudinal, blind, prospective and comparative study, in which women with atrophic stretch marks were selected, they were evaluated and reassessed in the interval of 5 and at the end of the 10 treatment sessions. The evaluation consisted of the classification of the skin phototype using the Fitzpatrick’s Scale, analysis of the length and width of the atrophic streak, evaluation of the skin viscoelasticity with Cutometer® and photographic analysis. The treatment consisted of the application of carboxitherapy associated with the high volt current. Tukey's ANOVA and post hoc tests (p≤0.05) were performed to evaluate the results. Results: there was a decrease in the thickness of the streaks of the right gluteus between the initial assessment and 5 sessions and the initial one for 10 sessions, with respective p <0.01, whereas in the left gluteus we observed a decrease between the initial assessment and 5 sessions and the initial one for 10 sessions, with p <0.05 in both. In the Cutometer® analysis, there was a significance of p <0.01 in the variables R0, R2, R6 and R8, showing an improvement in the viscoelastic properties of the atrophic stria when compared to the initial evaluation with 10 treatment sessions. Conclusion: the association of carboxitherapy with the high volt current was effective in decreasing the thickness of the atrophic streaks in glutes and in improving the viscoelastic properties of the skin.
References
Ibrahim, Z. A. E., El-Tatawy, R. A., El-Samongy, M. A., Ali, D. A. M. (2015). Comparison between the efficacy and safety of platelet-rich plasma vs. microdermabrasion in the treatment of striae distensae: clinical and histopathological study. Journal of Cosmetic Dermatology, 14(4), 336-346. DOI: 10.1111/jocd.12160
Bogdan, C., Iurian, S., Tomuta, I., & Moldovan, M. (2017). Improvement of skin condition in striae distensae: development, characterization and clinical efficacy of a cosmetic product containing Punica granatum seed oil and Croton lechleri resin extract. Drug Design, Development And Therapy, Volume11, 521-531. doi: 10.2147/dddt.s128470
Aldahan, A. S., Shah, V. V., Mlacker, S., Samarkandy, S., Alsaidan, M., & Nouri, K. (2016). Laser and Light Treatments for Striae Distensae: A Comprehensive Review of the Literature. American Journal Of Clinical Dermatology, 17(3), 239-256. doi: 10.1007/s40257-016-0182-8
Pongsrihadulchai, N., Chalermchai, T., Ophaswongse, S., Pongsawat, S., & Udompataikul, M. (2016). An efficacy and safety of nanofractional radiofrequency for the treatment of striae alba. Journal Of Cosmetic Dermatology, 16(1), 84-90. doi: 10.1111/jocd.12292
Elsaie, M. L., Hussein, M. S., Tawfik, A. A., Emam, H. M., Badawi, M. A., Fawzy, M. M., & Shokeir, H. A. (2016). Comparison of the effectiveness of two fluences using long-pulsed Nd:YAG laser in the treatment of striae distensae. Histological and morphometric evaluation. Lasers In Medical Science, 31(9), 1845-1853. doi: 10.1007/s10103-016-2060-2
Maia, M., Marçon, C., Rodrigues, S., & Aoki, T. (2009). Estrias de distensão na gravidez: fatores de risco em primíparas. Anais Brasileiros De Dermatologia, 84(6), 599-605. doi: 10.1590/s0365-05962009000600005
Cordeiro, R. C. T., & Moraes, A. M. (2009) Striae distensae: fisiopatologia. Surgical & Cosmetic Dermatology, 1(3), 137-140.
Elsaie, M. L., Baumann, L. S., & Elsaaiee, L. T. (2009). Striae Distensae (Stretch Marks) and Different Modalities of Therapy. Dermatologic Surgery, 35(4), 563-573. doi: 10.1111/j.1524-4725.2009.01094.x
Ochiai, R., Takeda, J., Noguchi, J., Ohgami, M., & Ishii, S. (2000). Subcutaneous Carbon Dioxide Insufflation Does Not Cause Hypercarbia During Endoscopic Thyroidectomy. Anesthesia & Analgesia, 90(3), 760. doi: 10.1097/00000539-200003000-00046
Brandi, C., Grimaldi, L., Nisi, G., Brafa, A., Campa, A., Calabrò, M., Campana, M., & D'Aniello, C. (2010). The role of carbon dioxide therapy in the treatment of chronic wounds. In Vivo, 24(2), 223-226.
Lee, G. S. K. (2016). Quality survey on efficacy of carboxytherapy for localized lipolysis. Journal Of Cosmetic Dermatology, 15(4), 484-492. doi: 10.1111/jocd.12242
Caramaschi, F. R., Landman, G., Vana, L. P. M., & Ferreira, M. C. (1995) Study of oxytalanic fibers of striae: variations with relation to the skin. Revista Hospital Clinica Faculdade de Medicina de São Paulo, 50, 35-38.
Abramo, A. C., Teixeira, T. T., Ledo-Silva, M. C., & Oliveira, E. L. (2009) Elevação da temperatura cutânea após a infusão controlada de dióxido de carbono. Revista Brasileira de Cirurgia Plástica, 24(3), 257-261.
Houghton, P. E., Kincaid, C. B., Lovell, M., Campbell, K. E., Keast, D. H., Woobury, M. G., & Harris, K. A. (2003) Effect of electrical stimulation on chronic leg ulcer size and appearance. Physical Therapy, 83(1), 17 - 28.
Wahner, H., Nehler, M., Moneta, G., Woodard, D., Defrang, R., Harker, C., & Taylor, L. (1993). Perimalleolar subcutaneous tissue pressure effects of elastic compression stockings. Journal Of Vascular Surgery, 18(5), 783-788. doi: 10.1067/mva.1993.48921
Nilson, L., Austrell, C. H., & Norgen L. (1992) Venous function during late pregnancy, the effect of elastic compression hosiery. VASA, 21(2), 203– 205.
Brandi, C., Campana, M., Russo, F., Brafa, A., Nisi, G., Grimaldi, L., & D’Aniello, C. (2012) Dióxido de carbono: Talvez não seja o único, mas um gás eficiente e seguro para o tratamento de adiposidades locais. Cirurgia Plástica Estética, 36, 218 - 219.
Pinheiro, N. M., Crema, V. O., Millan, B. M., Carvalho, F. A., & Mendonça, A. C. (2015) Comparação dos efeitos da carboxiterapia e da radiofrequência no rejuvenescimento da pele. Revista de Terapia Cosmética e Laser, 17, 156 - 161.
El‐Fakahany, H., Abdel‐Raouf, H., & Medhat, W. (2016) Connective tissue diseases: Treatment of localized morphea in face and body using carboxytherapy, case report. Journal of the American Academy of Dermatology, 74(1), 82.
Podgórna, K., Kołodziejczak, A., & Rotsztejn, H. (2017). Cutometric assessment of elasticity of skin with striae distensae following carboxytherapy. Journal Of Cosmetic Dermatology, 17(6), 1170-1174. doi: 10.1111/jocd.12465
Kołodziejczak, A., Podgórna, K., & Rotsztejn, H. (2018). Is carboxytherapy a good alternative method in the removal of various skin defects?. Dermatologic Therapy, 31(5), e12699. doi: 10.1111/dth.12699
Tiktinsky, R., Chen, L., & Narayan, P. (2010). Electrotherapy: yesterday, today and tomorrow. Haemophilia, 16, 126-131. doi: 10.1111/j.1365-2516.2010.02310.x
Sussman, C., & Byl, N. (1998) Electrical Stimulation for Wound Healing. In: Sussman C, Bates-Jensen BM editors. Wound Care Collaborative Practice Manual for Physical Therapists and Nurses. Aspen Publishers, 16.
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Copyright (c) 2020 Stephani de Almeida; Caroline Nogueira da Silva; Renata Gomes Moreira; Renata Michelini Guidi; Clovis Grecco ; José Ricardo de Souza; Debora Aparecida Oliveira Modena
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