DOI: 10.1097/PRS.0b013e3181a83842
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PMID: 19568118
Issn Print: 0032-1052
Publication Date: 2009/07/01
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Excerpt
We read with interest the article entitled “Scars: A Review of Emerging and Currently Available Therapies” (Plast Reconstr Surg. 2008;122:1068–1078). We would like to congratulate Dr. Reish, Dr. Eriksson, and colleagues for their publication, reviewing both the pathophysiology of scarring and the safety and efficacy of currently available and emerging therapeutic agents. We believe that a systematic elaboration about scar treatment is useful for summarizing the main available therapeutic strategies and to single out therapeutic agents that could possibly emerge in the future.
Considering all currently available and emerging strategies listed in the article, we would like to add our topics about scar remodeling by lipostructure. Our studies, published in February of 2008,1,2 give interesting information regarding scar remodeling with adipose-derived stem cells. We published our first three cases of burn scars, but now have performed this technique in more than 200 patients and improved our experience in the field of mature scar treatment, including outcomes of burns, traumas, radiation damage, and chronic ulceration. Other publications support our evidence.3,4
We think that autologous fat grafting should be considered as a good therapeutic method for scar remodeling, considering the improvement of mature scars in terms of texture, color, softness, quality of skin patterns, collagen deposition, and new blood vessel growth.
