“…In addition, there have been numerous reports of improved scar quality after fat grafting. [117][118][119][120][121][122][123][124][125] In addition to restoring volume, fat grafting rejuvenated the overlying skin, as evidenced by improvements in texture, contour, and color.…”
Section: Improvement In Scar Appearance and Skin Qualitymentioning
“…In addition, there have been numerous reports of improved scar quality after fat grafting. [117][118][119][120][121][122][123][124][125] In addition to restoring volume, fat grafting rejuvenated the overlying skin, as evidenced by improvements in texture, contour, and color.…”
Section: Improvement In Scar Appearance and Skin Qualitymentioning
“…[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] The case-control study evaluated scars of 20 randomly selected patients. Each scar was treated half with fat and half with saline injection and evaluated by the Patient and Observer Scar Assessment Scale 25 and Durometer measurement for scar firmness.…”
“…[1][2][3][4][6][7][8][9][10][11][12][13][14][15][16] Nine of the 15 studies were classified as level IV (case series), two as level III (a retrospective cohort and a comparative clinical study), one as level II (prospective cohort study), and three were not classified (for dealing with animal studies or review articles). No level I studies were found, that is, those with the strongest evidence (controlled and randomized clinical trials).…”
Section: Resultsmentioning
confidence: 99%
“…As such, this could contribute to decreased fibrosis and increased elasticity, promoting increased malleability of pathological scars. 3 In addition, there is evidence of benefits to scars that have pathological retractions, resulting in clinical improvement and a gain in the amplitude of movements. 7 However, since these studies 3,7 are classified as case series (level IV), any conclusions remain limited by the low level of evidence.…”
Section: Discussionmentioning
confidence: 99%
“…In this context, autologous fat grafting represents another therapeutic option and has been used on unsightly and retracted scars, 1,2 burn sequelae, 3 and in reconstructive and cosmetic surgeries (to improve body contour, with the intention of filling and increasing volume).…”
SUMMARY Introduction Since the 1980s, the use of autologous fat grafting has been growing in plastic surgery. Recently, this procedure has come to be used as a treatment for keloids and hypertrophic scars mainly due to the lack of satisfactory results with other techniques. So far, however, it lacks more consistent scientific evidence to recommend its use. The aim of this study was to review the current state of autologous fat grafting for the treatment of keloids and hypertrophic scars, their benefits and scientific evidences in the literature. Method A review in the Pubmed database was performed using the keywords “fat grafting and scar”, “fat grafting and keloid scar” and “fat grafting and hypertrophic scar.” Inclusion criteria were articles written in English and published in the last 10 years, resulting in 15 studies. Results These articles indicate that autologous fat grafting carried out at sites with pathological scars leads to a reduction of the fibrosis and pain, an increased range of movement in areas of scar contraction, an increase in their flexibility, resulting in a better quality of scars. Conclusion So far, evidences suggest that autologous fat grafting for the treatment of keloids and hypertrophic scars is associated with a better quality of scars, leading to esthetic and functional benefits. However, this review has limitations and these findings should be treated with reservations, since they mostly came from studies with low levels of evidence.
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