Tratamento Dermatológico na Gravidez

Frequentemente se tem o questionamento sobre tratamentos dermatológico na gestação, então busquei um artigo onde se faz uma ampla revisão sobre o tratamento dermatológico na gravidez. Publicado na Revista da Sociedade Americana de Cirurgia Dermatologica com artigos de 1960 a 2012:

Dermatol Surg. 2013 Oct 29. doi: 10.1111/dsu.12322. [Epub ahead of print]

Safety of Cosmetic Dermatologic Procedures During Pregnancy.

Lee KC, Korgavkar K, Dufresne RG Jr, William Higgins H 2nd.

Source

Department of Dermatology, Brown University, Providence, Rhode Island; Dermatoepidemiology Unit, Veterans Affairs Medical Center, Providence, Rhode Island.

Abstract

BACKGROUND:

Safety of cosmetic procedures in pregnant women has not been extensively studied. Maternal and fetal health risks are important to consider in any procedure performed. With the increasing popularity of cosmetic procedures, dermatologic surgeons will be faced with scenarios necessitating knowledge regarding the safety of such procedures during pregnancy. Furthermore, dermatologic surgeons may inadvertently perform cosmetic procedures during the first trimester, before the patient is aware of the pregnancy.

OBJECTIVE:

To investigate the safety of cosmetic procedures during pregnancy and the postpartum period.

METHODS AND MATERIALS:

A literature search of PubMed and Google Scholar was conducted of all English-language articles published from 1960 through 2012.

RESULTS:

Definitive recommendations on the safety of procedures such as chemical peels, injectables, fillers, and most laser therapies during pregnancy cannot be made. The safety of onabotulinum toxin usage is well documented in the neurology literature, although isolated events of miscarriage have been reported with high doses of toxin in women with a previous history of miscarriage. Carbon dioxide laser therapy for genital condylomas has considerable evidence supporting its safety during pregnancy.

CONCLUSION:

There is a lack of controlled trials addressing the safety of cosmetic procedures during pregnancy and postpartum periods. It is advisable to delay elective cosmetic procedures until after the baby is born.

© 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

PMID:

 

24164677

 

[PubMed - as supplied by publisher]

Conclusão: Pela falta de estudos controlados (Ensaios clínicos), durante a gravidez e puerpério, a recomendação é tratar após o parto. 

Mas apresentou uma evidência de provável segurança de uso de laser de dióxido de carbono para o tratamento de condilomas durante a gravidez.