Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
J Cosmet Dermatol. 2021 Oct;20(10):3198-3204. doi: 10.1111/jocd.14363. Epub 2021 Aug 6.
Scars are the unfortunate outcome of most injuries and some diseases. Its psychological impact on patients can deeply affect their quality of life.
The aim of this study was to evaluate the efficacy of autologous nanofat injection in improving the aesthetic outcome of scars, combined with histopathological correlation of the response.
Thirty patients with scars of different etiologies undergone one session of nanofat injection and evaluation was done 6 months after the session. Efficacy of treatment was assessed clinically using Vancouver scar scale by two independent blinded dermatologists and histopathologically using image analysis system.
The age of enrolled patients ranged from 18 to 40 years old. There was a statistically significant improvement on the total Vancouver scar scale regarding the height and pliability of the scars. Pathological evaluation showed an increase in epidermal thickness, increased number and density of collagen and elastic fibers along with neovascularization.
Evidenced by clinical and pathological improvement, autologous nanofat injection is an effective strategy for treating scars of different etiologies.
疤痕是大多数创伤和某些疾病的不幸结果。它对患者的心理影响可能会深深影响他们的生活质量。
本研究旨在评估自体纳米脂肪注射改善疤痕美观效果的疗效,并结合组织病理学相关性进行评价。
30 名患有不同病因疤痕的患者接受了一次纳米脂肪注射治疗,治疗后 6 个月进行评估。两名独立的盲法皮肤科医生采用温哥华疤痕量表进行临床疗效评估,并用图像分析系统进行组织病理学评估。
入组患者的年龄为 18 至 40 岁。疤痕的高度和柔韧性的温哥华疤痕量表总分有统计学意义的改善。组织病理学评估显示表皮厚度增加,胶原纤维和弹性纤维的数量和密度增加,同时伴有新生血管形成。
临床和组织病理学改善的证据表明,自体纳米脂肪注射是治疗不同病因疤痕的有效策略。