OBJECTIVE

To evaluate an efficacy of lipoaspirate-based products in pathologic scarring management.

MATERIAL AND METHODS

There were 118 patients with external scars. Depending on scar type, localization and need for soft tissue augmentation, three different methods were used for lipoaspirate-based product preparation: 15-minute sedimentation, centrifugation at 1200 g for 3 minutes and emulsification with a channel diameter of 1.2 mm. Results were assessed using the Manchester Scar Scale (MSS) and photographing.

RESULTS

According to MSS analysis, the following results were obtained: before treatment — 11.6 (9.3-13.3) scores, 3 months after treatment — 6.5 (5.1-7.2) scores, 6 months after treatment — 5.2 (4.5-6.1) scores. Significant differences were obtained for baseline values and both control points. Stable results were obtained in long-term follow-up period (12-24 months). No major adverse effects were observed. Minor complications were registered in 10.1% of patients.

CONCLUSION

Injections of lipoaspirate-based products is an effective option for the treatment of patients with pathologic scarring. This approach is intermediate between conservative and conventional surgical treatment.