Combined Scar Subcision and Autologous Fat Grafting for Correction of Atrophic Depressed Scars of the Face

Fikry, Ayman; Ali, Ahmed M.; Mahmoud, Ahmed A.

doi:10.21608/ejprs.2018.215062

Combined Scar Subcision and Autologous Fat Grafting for Correction of Atrophic Depressed Scars of the Face

Document Type : Original Article

Authors

The Plastic and Reconstructive Surgery Unit, General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig

10.21608/ejprs.2018.215062

Abstract

Introduction: Atrophic depressed scars of the face are a
common cosmetic problem; the main task is scar improvement
with least invasive modalities to achieve nearly ideal scar
criteria, among these modalities is subcision. Simple filling
the depression or subcision alone will not be enough to obtain
long lasting result.
Objective: To assess the efficacy of combined scar subcision
with Nokor® needle 18G and simultaneous lipofilling
for the correction depressed linear scars of face.
Method: In this case series, 20 adult patients [18 males
and 2 females, ranging between 18-45 years old (Mean ± SD,
33.2±9.98)], suffering from facial atrophic depressed, (post
traumatic or surgical scars) underwent our elected procedure.
Results: There were statistically a high significant difference
among the studied group between preoperative and
postoperative scar as regarding total score of the scar (p < 0.001),
and overall appearance of the scar, leading to a high patient
satisfaction rate. Unfortunately the results were unsatisfactory
in four cases.
Conclusion: This combined technique had significantly
improved atrophic depressed linear scars of the face; it could
be considered a simple, inexpensive, and minimally invasive
realistic modality for scar management

Keywords

Main Subjects

Aesthetics

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