ABORDAGENS TERAPÊUTICAS NO TRATAMENTO ESTÉTICO DE ESTRIAS: Uma revisão da literatura

Stretch marks are common skin lesions in the field of aesthetics that can cause psychological distress and anxiety in affected individuals due to their disfiguring appearance on the skin, especially in women, in addition to causing burning and itching when they appear on the skin. Their etiology is currently unknown and risk factors include family history, excessive weight gain, pregnancy, diseases and chronic use of corticosteroids. The abdomen, breasts, buttocks and thighs are the most predisposed areas to the appearance of stretch marks. The objective of the study was to review the most recent literature on the most commonly used and new treatment modalities and to analyze the critical points and difficulties in the treatment of stretch marks in recent years. A qualitative narrative review of the literature was carried out through a search for articles published in Portuguese and English limited to the last 5 years in the CAPES journal database and Google Scholar. The treatment modalities found in the studies were diverse and included everything from topical treatments to laser and LED procedures, microneedling, chemical peels, carboxytherapy, radiofrequency, and other more invasive therapies such as filler injections. Among the treatment modalities that have been explored so far, the therapeutic targets broadly include increasing collagen production, reducing vascularization, increasing pigmentation, and increasing pigmentation. It was possible to conclude that there is still no “gold standard” for the treatment of stretch marks, although all single treatment modalities showed significant improvement in the appearance of stretch marks, making the skin firmer and more elastic. In general, the combination of modalities is clinically more effective than isolated therapies, but their choice should be carefully defined in each case.