Regenerative medicine is an emerging and rapidly evolving field of research and therapy, thanks to new discoveries on stem cells. Adipose tissue is a connective tissue which contains a reserve of mesenchymal stem cells. Clinical improvements in trophic characteristics of teguments after autologous fat graft are well described in literature. In this paper, we present our observation after 6 years of autologous fat graft experience in scar remodeling.
All patients recruited had retractile and painful scars compromising the normal daily activity/mobility of the joint involved. We performed surgical procedure with Coleman technique. In 20 patients, we performed a clinical assessment using Patient and Observer Scar Assessment Scale (POSAS) and Durometer measurements.
In all treated scars, a qualitative improvement was shown both from an aesthetic and functional point of view. Most importantly, reduction or complete resolution of pain and increases in scar elasticity were objectively assessable in all cases. In patients studied using Durometer and POSAS score, areas treated with autologous fat graft showed statistically significant reduction in hardness measurements in comparison with areas infiltrated with saline solution. POSAS scores showed a statistically significant reduction of a great deal of POSAS parameters as a result of an improvement of both clinical evaluation and patient perception.
Injection of processed autologous fat seems to be a promising and effective therapeutic approach for scars with different origin such as burns and other trauma scars, and post-surgery and radiotherapy outcomes. In general, we can affirm that treated areas regain characteristics similar to normal skin, which are clinically objectivable, leading not only to aesthetic but also functional results.
From the *Università degli Studi di Milano—U.O. Chirurgia Plastica 2, Dipartimento di Medicina Translazionale, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, and †Università degli Studi di Milano—U.O. Chirurgia Plastica, Multimedica Holding s.p.a., Sesto San Giovanni, Milan, Italy.
Received January 30, 2013.
Accepted for publication June 25, 2013.
Address correspondence and reprint requests to Dr Marco Klinger, Università degli Studi di Milano, Unità Operativa di Chirurgia Plastica 2, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089 Rozzano, Milan, Italy; E-mail: firstname.lastname@example.org
Devices used in this study:
• Coleman’s original kit for lipostructure
• 18G needle, Cordis, a Johnson & Johnson Company, N.V., 9301 LJ, Roden, Netherlands
• Durometer REX GAUGE type 00; Rex Gauge Durometer, Buffalo Grove, IL, USA
Presented at the 61st Annual Meeting of the Italian Society of Plastic Surgery (SICPRE), Panel on Lipofilling, Palermo, September 24–27, 2012.
The authors report no conflicts of interest.