ONEP Plastic Surgery Science Institute, Istanbul, Turkey.
Aesthet Surg J. 2019 Mar 14;39(4):NP55-NP67. doi: 10.1093/asj/sjy291.
Burn scar treatment persists as an unsolved problem, involving thousands of affected patients disfigured for life.
We sought to present our experience with the use of combined treatments for patients with burn scars.
This was a case series report of the senior author's experience during 8 years utilizing the combined treatments of Fraxel Restore (fractional laser) and microfat graft injection for 288 patients with burn scars.
Laser treatment reduced scar intensity and attenuated skin irregularities and hyperpigmentation. All patients demonstrated marked improvement of skin texture and an increase in scar softness after 3 sessions of microfat grafting. However, the degree of improvement varied between patients and was related to the severity of the scar and the type of tissue. Overall, a 40% to 80% improvement was noted in our patients. All patients and their families expressed satisfaction with the results.
The combined treatment of Fraxel and microfat grafting is an effective technique for improving the appearance of a hypertrophic scar or keloid on burn patients. Fat tissue stem cells may have helped to repair the damaged skin.
烧伤瘢痕的治疗仍然是一个未解决的问题，成千上万的患者因此终身毁容。
我们旨在介绍我们使用联合治疗烧伤瘢痕患者的经验。
这是高级作者在 8 年期间使用 Fraxel Restore（分数激光）和微脂肪移植注射联合治疗 288 例烧伤瘢痕患者的经验的病例系列报告。
激光治疗可降低瘢痕强度，并减轻皮肤不规则和色素沉着过度。所有患者在进行 3 次微脂肪移植后，皮肤质地明显改善，瘢痕变软。然而，改善程度因人而异，与瘢痕的严重程度和组织类型有关。总体而言，我们的患者中有 40%至 80%的患者得到了改善。所有患者及其家属均对结果表示满意。
Fraxel 和微脂肪移植的联合治疗是改善烧伤患者增生性瘢痕或瘢痕疙瘩外观的有效技术。脂肪组织干细胞可能有助于修复受损皮肤。
