Retraction Scar Treatment with Fat Injection

Case Series

Austin J Surg. 2015;2(5): 1068.

Retraction Scar Treatment with Fat Injection

Guerrissi JO, Siniger TB* and Di Lisio MG

Department of Plastic and Reconstructive Surgery, Dr. Cosme Argerich Hospital, Argentina

*Corresponding author: Siniger TB, Department of Plastic and Reconstructive Surgery Dr. Cosme Argerich Hospital, Buenos Aires University, Pi y margall 750, Buenos Aires, Argentina

Received: June 09, 2015; Accepted: August 05, 2015; Published: August 12, 2015


Fat injection; Scar correction; Adipose cell; Burn; Minimally invasive surgery


When the healing process begins the lesion can progress to contraction-retraction, which is considered the basic process where the edges are brought to the center by their tension lines, or it may contract generating a scar against cosmetics or functional objectives. The healing process is inherent to each individual, but there are various circumstances such as traumatic injuries, closures by second intention and burn scar that can contribute to the development of a scar retraction. In the case of a burn scar the tissue is subjected to a state of chronic hypoxia. Now a day’s some of the possible treatments include: laser therapy [1] external silicone patches, injectable glucocorticoids [2], superficial radiotherapy, drug treatments such as interferon and colchicine (the still mostly under review), and a surgical treatment conventionally referred as z or w plasty, used to change the vertical axis of the scar and distribute better and without anarchy the basic tensions generated by the scar. The lipotransference [3] was developed in recent years. The method consists of taking fat removed by liposuction under low pressure and places it on the treated area. This is use in aesthetic lipofilling, for the treatment of chronic ulcers members and also as a relaxation treatment of scars or retracted areas postcicatrizales. This method has been published as effective in several health international centers [4]. The reason for this paper is to contribute to show the effectiveness of this process in 4 patients with retracted scars in Plastic Surgery Service Hospital Cosme Argerich, Buenos Aires, Argentina.

Materials and Methods

This study is based on a prospective clinical evaluation in the period of 2010 to 2013 in 22 patients with scars retractions. The patients’ ages ranged between sixty and ninety-four. The reason for consultation was mainly due the functional limitations in joint and tendon movements, associated with pain and itching, and changes in the aesthetic appearance characteristics, elasticity, texture and color (Table 1).