Stretch marks on the skin are one of the most urgent medical and social problems today. The first mention of striae has been known since 1751, when they were described by the German pharmacologist Georg Roederer. According to medscape.com in the US, about 90% of pregnant women, 70% of adolescent girls, 40% of young men who are actively involved in sports have stretch marks.
Approximately 8 out of 10 pregnant women in our country suffer from the appearance of stretch marks, and 90% of them do not know what to do with this problem. This skin defect worsens their psycho-emotional state and quality of life. Yulia Kachuk shared her experience with the readers of estet-portal.com about how to deal with stretch marks on the skin using microneedle skin redermalization Candidate of Medical Sciences, Associate Professor, Department of Dermatovenereology, Kharkiv Medical Academy of Postgraduate Education.
How and what causes stretch marks on the skin
Streaks – This is a common aesthetic skin defect that occurs against the background of a hormonal imbalance. Active tissue growth and overstretching of the skin are due to excessive production of hormones from the adrenal cortex, thyroid and gonads.
As a rule, striae appear during hormonal changes in the body:
- in adolescence,
- during pregnancy and postpartum,
- with menopause,
- in athletes gaining weight with the help of hormones.
In the pathogenesis of striae, the leading role is played by a decrease in the synthesis of collagen and elastin by fibroblasts, while maintaining their ability to synthesize metalloproteinases (colagenase, elastase). The predominance of fibroclasts, which synthesize enzymes and destroy collagen and elastin, which maintain skin density, is also important.
When the skin is overstretched, the fibers break, the reticular layer of the dermis is destroyed, while the epidermis is preserved. Vessels, collagen and elastic fibers are torn, atrophy occurs in the skin. Clinically, striae are manifested by multiple stripes on the abdomen, mammary glands, thighs, and back.
Clpssification of striae depending on the duration of their existence and the characteristics of the clinical picture (Depre F., Ranneva E.)
|
Stage |
Duration |
Process characteristic |
Clinical picture |
Streak Color |
|
Stage 1 |
Up to 6 months |
Aseptic inflammation |
Rarely convex |
From pink to red-purple |
|
Stage 2 A |
From 6 months up to a year |
The fading of the inflammatory process, the formation of atrophic skin deformities |
Presence (absence) of perceptible depression, "step relief" |
Pink with bluish undertones |
|
Stage 2 B |
1 year or more |
Atrophic skin deformity |
Presence (absence) of measurable depression |
Skin color white |
|
Stage 3 A |
1 year or more |
Atrophic skin deformity |
Lighter than normal skin tone, white |
|
|
Stage 3 B |
5 years and over |
Atrophic skin deformity |
Lighter than normal skin tone, pearly white |
|
|
Stage 4 |
5 years and over |
Severe atrophic deformity of the skin |
1 cm wide "stepped" (+) "ladder rungs" (+) |
Lighter than normal skin tone, pearly white |
The stages of formation and the statute of limitations for the existence of striae are used to select the method of therapy.
Modern methods of treating stretch marks on the skin
Modern methods of treating stretch marks are divided into two large groups. The first of them – it is
an effect on scar tissue that can make shallow stretch marks less visible:
- therapeutic massage,
- medium or superficial peel,
- wraps.
These procedures should be performed regularly to maintain the cosmetic effect.
The second group of therapeutic effects – these are methods for removing stretch marks, in which the defect is almost completely eliminated:
- hardware technology,
- surgical removal,
- injection techniques.
In practice, a recovery technique that combines all the advantages of classic microneedling and redermalization has shown high efficiency in the treatment of stretch marks. This is a course procedure of microneedle redermalization of the skin, which is performed using the patented device PERFOSKIN Complex.
The uniqueness of PERFOSKIN – in the possibility of simultaneous administration of the drug (redermalizant) and skin puncture with a dermaroller needle, which ensures maximum study of the entire surface of the skin, maximum penetration of the drug into the dermis.
Thanks to the peculiarity of the PERFOSKIN device, we get a double effect: classic microneedling stimulates fibroblasts, and redermalization – restores the structure and microcirculation of the dermis, which is decisive in the correction of stretch marks.
Prederm as part of PERFOSKIN Complex – is a unique formula combining sodium succinate and high molecular weight hyaluronic acid, combined using a special Double Synergic E ect technology to synergize their action in the dermis.
Practical experience in the treatment of stretch marks on the skin
For the correction of stretch marks, we chose the 2nd type PERFOSKIN Device, which has a drum with a design for additional skin tension during needle puncture, which ensures maximum absorption of active ingredients and intradermal delivery of active ingredients.
The PERFOSKIN Prederm built-in pre-filled syringe contains 5 ml redermalizant, consisting of 0.55% hyaluronic acid and 1.6% sodium succinate. Hyaluronic acid moisturizes the skin, stimulates fibroblasts, has a drainage and anti-inflammatory effect.
Sodium succinate (succinic acid salt) accelerates metabolism in skin cells, neutralizes free radicals, stimulates collagen and elastin synthesis, normalizes microcirculation and increases oxygen delivery to skin cells.
Under our supervision there were 10 women aged 24 to 43 years old, the duration of striae in the abdomen ranged from 1 to 15 years, which corresponded to the clinic 2B, 3A, 3B and 4 stages (according to the Despres classification F., Rannevoy E.). All patients underwent a course of microneedle redermalization of the body, and 5 patients with striae older than 5 years and clinically stage 3B and 4 underwent a combined microneedle redermalization technique with Hyalual booster containing high molecular weight hyaluronic acid 2.2% and sodium succinate 16 mg/ml
• 5 patients of the first group, who had stages 2B and 3A of striae, microneedle redermalization of the body was performed once every 10 days by rolling the study of the area of striae with PERFOSKIN Device in horizontal, vertical and two diagonal directions. The course consisted of 8 procedures.
• 5 patients of the second group with 3B and 4 stages of striae, a course of procedures was carried out by introducing Hyalual booster and PERFOSKIN Complex in one session every 10 days. The course consisted of 8 procedures.
Hyalual booster was injected intradermally by linear tracing technique under each striae, 0.1 ml per 1 cm of striae length. Procedures with PERFOSKIN Device were carried out in the same way as in the patients of the previous group. According to the results of the final dermatoscopy, all patients showed a significant improvement in the dermoscopic picture, in particular:
• significant smoothness of the transition of stretch marks to healthy skin,
• complete absence of the vascular component,
• absence of dermatoscopic signs of dry skin,
• significant lightening of the skin tone against the background of a decrease in the number of micropigmentations
Thus, the procedure of microneedle body redermalization with PERFOSKIN Complex has shown high efficiency in solving aesthetic problems of the body with different severity of striae and can be recommended as a universal mono-procedure or in combination with Hyalual booster 2.2% redermalization for the correction of striae of various stages.
The article was written based on the materials of
Hialual company.
Share:
Add a comment