Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face.

Abstract:

:The aim of this study was to compare the quality of postburn facial scars before and after injection of unfiltered nanofat. The study was performed in the Plastic Surgery Department of Mayo Hospital, Lahore, Pakistan, from January 2015 to December 2016. Forty-eight patients with postburn facial scars were included; age range was 4 to 32 years with Fitzpatrick skin types between 3 and 4. Patients with hypertrophic scars, contractures, or keloids were excluded. Scars were assessed by a senior plastic surgeon and the patient on the POSAS (Patient Observer Scar Assessment Scale). Fat was harvested from the abdomen and/or thighs with a 3-mm multiport liposuction cannula (containing several sharp side holes of 1 mm) using Coleman technique. The harvested fat was emulsified and transferred into 1-mL Luer-Lock syringes for injection into the subdermal or intradermal plane. Final follow-up was scheduled at 6 months, and scar was rated by the patient and the same surgeon on the POSAS. Preoperative and postoperative scar scores were compared, and P values were calculated. Results indicated that after nanofat grafting, there was a statistically significant improvement in scar quality. The most significant improvements on the observer scale were seen in pigmentation and pliability (P < 0.0001). Thickness and relief were the least improved variables (P = of 0.785 and 0.99, respectively). ImageJ scanning also showed pigmentation change (P = 0.076). A statistically significant improvement was seen in all parameters of the patient section of the POSAS (P < 0.0001). In conclusion, unfiltered nanofat grafting seems to be a promising and effective therapeutic approach in postburn facial scars, showing significant improvement in scar quality. The trial was registered on www.clinicaltrials.gov with following ID NCT03352297.

journal_name

Ann Plast Surg

authors

Jan SN,Bashir MM,Khan FA,Hidayat Z,Ansari HH,Sohail M,Bajwa AB,Shami HB,Hanif A,Aziz F,Choudhery MS

doi

10.1097/SAP.0000000000001631

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

28-33

issue

1

eissn

0148-7043

issn

1536-3708

journal_volume

82

pub_type

杂志文章
  • Repair of unilateral cleft lip: a comparison of five techniques.

    abstract::Repair of unilateral cleft lip is a challenging procedure with no single technique satisfactory for all types of unilateral cleft deformity. This study compares retrospectively five techniques of unilateral cleft lip repair in 72 children (45 boys, 27 girls). Twenty-two children had a Millard rotation-advancement repa...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199812000-00002

    authors: Lazarus DD,Hudson DA,van Zyl JE,Fleming AN,Fernandes D

    更新日期:1998-12-01 00:00:00

  • Distally based perforator medial plantar flap: a new flap for reconstruction of plantar forefoot defects.

    abstract::In this article the author describes 2 cases of a distally based perforator medial plantar flap that were transferred successfully from the nonweight-bearing instep region to the weight-bearing plantar forefoot (defects, 8 x 5 cm and 6 x 5 cm respectively). This flap is nourished solely by perforators of the medial pl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000112287.56354.f8

    authors: Coruh A

    更新日期:2004-10-01 00:00:00

  • Wedge excision of the nail fold in the treatment of ingrown toenail.

    abstract::Many treatment modalities of ingrown toenail are reported in the literature, often associated with unacceptably high recurrence rate. The authors present their technique, which aims at reducing the convexity of the nail fold. After complete removal of the nail plate and accurate debridement of the granulomatous tissue...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000095436.08812.67

    authors: Persichetti P,Simone P,Li Vecchi G,Di Lella F,Cagli B,Marangi GF

    更新日期:2004-06-01 00:00:00

  • Hemangioma of the zygoma.

    abstract::Hemangioma of the zygomatic bone is an extreme rarity. Six cases have been reported in the English literature. These reports and the 2 new patients presented here constitute the basis for our data. Clinical, histopathological, therapeutic, and reconstructive considerations are discussed. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198706000-00013

    authors: Har-El G,Hadar T,Zirkin HY,Sidi J

    更新日期:1987-06-01 00:00:00

  • An algorithmic approach for reconstruction of burn alopecia.

    abstract::Although various methods for reconstruction of burn alopecia have been described in case reports and small case series, a comprehensive comparison of these methods has not been performed. The purpose of this study was to assess the appropriateness of the clinical indications for the various reconstructive methods for ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181d2487a

    authors: Jeong SH,Koo SH,Han SK,Kim WK

    更新日期:2010-09-01 00:00:00

  • The medial sural(MEDIAL GASTROCNEMIUS) perforator local flap.

    abstract::The medial sural(MEDIAL GASTROCNEMIUS) perforator flap has previously been described as a free flap distinguished by the potential for a large yet thin cutaneous flap that incorporates the calf skin territory. Its medial sural vascular pedicle can be tailored to allow reach extending from the popliteal fossa to the su...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000116338.59679.12

    authors: Hallock GG

    更新日期:2004-11-01 00:00:00

  • Long-term fate of vascularized iliac bone flap as a source for phallic rigidity.

    abstract::One of the surgical goals of phalloplasty is to obtain sufficient rigidity for sexual penetration. This is also important for patients with erectile dysfunction. Different kinds of techniques have described phalloplasty and obtaining rigidity in patients with erectile dysfunction, but there is no good substitute for t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000044142.17243.8C

    authors: Aköz T,Kargi E,Cakir B

    更新日期:2003-05-01 00:00:00

  • An alternative approach for correction of Stahl's ear.

    abstract::A technique of correction of Stahl's ear is presented and is compared with other techniques reported in the literature. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000067728.84041.96

    authors: Al-Qattan MM,Hashem FK

    更新日期:2004-01-01 00:00:00

  • Technical modifications for on-site nipple-areola reconstruction.

    abstract::There have been numerous techniques and refinements for nipple-areola reconstruction described that have required the use of distant donor sites. A further modification of the skate flap is described, whereby the entire reconstruction can be performed on site, thus avoiding a second scar and any subsequent morbidity. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199203000-00014

    authors: Chang BW,Slezak S,Goldberg NH

    更新日期:1992-03-01 00:00:00

  • Platysma-based myocutaneous clavicular island flap for intraoral reconstruction.

    abstract::The clavicular myocutaneous island flap, with circulation provided by the platysma and superficial cervical fascia, was first performed by Paul Tessier in 1970, taking his motivation from the prior experience of John Barron with subcutaneous island flaps. A manuscript written by Dr. Tessier on his experience of 120 ca...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e3182183652

    authors: Tessier P,Matthews DC,Kamerer D Jr,Ciminello FS,Gargano F,Wolfe SA

    更新日期:2011-12-01 00:00:00

  • Successful Treatment of Plantar Hyperkeratosis in the Form of Recurrent Corns With Split-Thickness Sole Skin Graft.

    abstract:INTRODUCTION:Plantar hyperkeratosis, such as corns and calluses, is common in older people and associated with pain, mobility impairment, and functional limitations. It usually develops on the palms, knees, or soles of feet, especially under the heels or balls. There are several treatment methods for plantar hyperkerat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001304

    authors: Wang CY,Chang CK,Chou CY,Wu CJ,Chu TS,Chiao HY,Chen CY,Chen TM,Tzeng YS

    更新日期:2018-02-01 00:00:00

  • Benefits of contact and noncontact YAG laser for periorbital hemangiomas.

    abstract::Twenty patients with capillary/cavernous hemangiomas of the periorbital area (eyelid, eyebrow, nose extending to canthus) have been treated with a variety of techniques. Six patients were treated by yttrium-aluminum-garnet (YAG) laser photocoagulation and direct injection of steroids. Rapid shrinkage of the hemangioma...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199005000-00002

    authors: Apfelberg DB,Maser MR,White DN,Lash H,Lane B,Marks MP

    更新日期:1990-05-01 00:00:00

  • The role of external cranial fixation in simplifying scalp composite tissue transfer.

    abstract::The use of external devices for cranial suspension or immobilization may facilitate the transfer of skin grafts or flaps needed for scalp coverage. Skull tongs are readily available in any trauma center. Following composite tissue transfer to the skull, skull tongs can prevent compromise of the microanastomoses or the...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198901000-00015

    authors: Hallock GG

    更新日期:1989-01-01 00:00:00

  • Gluteal infarction as a complication of aortofemoral bypass grafting.

    abstract::Early complications following aortofemoral bypass grafting include acute limb ischemia, renal failure, bowel and spinal cord ischemia, and myocardial infarction. Although the literature recognizes these more common complications, we have found very few reports that raised the possibility of an anatomically determined,...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199612000-00014

    authors: Ho PR,Yim K,Hui K,Lineaweaver WC

    更新日期:1996-12-01 00:00:00

  • One-stage immediate breast reconstruction with implant following skin-sparing mastectomy in Asian patients.

    abstract::The Asian breast reconstruction patient is usually of lower mean age, lower body mass index (BMI), and has relatively small breasts. This study aimed to investigate the outcome of 1-stage immediate breast reconstruction using saline-filled implants in the Asian patients.Between April 2002 and July 2005, 30 patients un...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318063ef70

    authors: Wang HY,Ali RS,Chen SC,Chao TC,Cheng MH

    更新日期:2008-04-01 00:00:00

  • The effect of angiotensin (1-7) on survival of random pattern skin flaps with nicotine-induced ischemia in rats.

    abstract:OBJECTIVE:The purpose of this study was to reveal the effect of angiotensin (1-7) on survival of random pattern, nicotinized, ischemic flap model in rats. MATERIALS AND METHODS:We used female Sprague Dawley rats weighing between 250 and 300 g. The study was performed on 3 groups each of them was consisted of 30 rats (...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182069bfd

    authors: Baykan H,Günay GK,Ozyazgan I,Soyuer I

    更新日期:2012-01-01 00:00:00

  • Benign fatty tumors of the peripheral nerves.

    abstract::Fatty tumors of the peripheral nerves, although rare, occur with sufficient frequency to pose problems in diagnosis and treatment. Moreover, the nomenclature of these tumors has suffered from controversy over their morpological description. These factors have contributed to a misunderstanding about the treatment of th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-197803000-00011

    authors: Terzis JK,Daniel RK,Williams HB,Spencer PS

    更新日期:1978-03-01 00:00:00

  • Role of anti-TNF-α therapy in fat graft preservation.

    abstract:BACKGROUND/OBJECTIVE:In this study, we evaluated the role of antitumor necrosis factor-alpha (TNF-α) therapy in the decrease of adipocyte apoptosis and weight preservation of fat grafts in the rat model. METHODS:A total of 64 rats were randomly divided into 2 groups, with 32 rats in each group. Autologous fat tissue w...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31821deb1b

    authors: Yang M,Zhang F,Sailes FC,Zhang EW,Lin S,Das SK

    更新日期:2012-05-01 00:00:00

  • Lymphedema after upper limb transplantation: scintigraphic study in 3 patients.

    abstract::Lymphatic vasculature is known to spontaneously reconnect after hand replantation. Nonetheless, lymphatic outflow has not been specifically studied in hand transplantation.Lymphedema was studied clinically and scintigraphically in 3 bilateral upper limb transplants performed in Valencia, Spain, since 2006. Case 1 was ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31828349ff

    authors: Cavadas PC,Thione A,Carballeira A,Dominguez PC

    更新日期:2013-07-01 00:00:00

  • Mycobacterium tuberculosis infection of the hand: a case report and review of the literature.

    abstract::Despite the recent overall increase in cases of tuberculosis and other types of mycobacterial infection, the incidence of tuberculous hand infections remains extremely low in the United States. The rarity of this infection often results in delay in diagnosis and treatment. A case of Mycobacterium tuberculosis infectio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199801000-00014

    authors: Karanas YL,Yim KK

    更新日期:1998-01-01 00:00:00

  • Role of mini- and microplate fixation in fractures of the midface and mandible.

    abstract::Le Fort defined the classic weak points of facial fractures. Fractures of the midface and mandible are believed to require management with standard rigid fixation. Recent work has allowed mini- and microplating of multiple fracture fragments into more manageable larger segments for reduction and subsequent plating wit...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199505000-00001

    authors: Evans GR,Clark N,Manson PN,Leipziger LS

    更新日期:1995-05-01 00:00:00

  • Molecular Mechanism of the "Babysitter" Procedure for Nerve Regeneration and Muscle Preservation in Peripheral Nerve Repair in a Rat Model.

    abstract:OBJECTIVE:To investigate the molecular mechanism of nerve "babysitter" for nerve regeneration and muscle preservation in peripheral nerve repair. METHODS:Eighty rats were equalized into 4 groups: peroneal nerve transected, group A received no treatment; group B underwent end-to-end repair; group C underwent end-to-sid...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000952

    authors: Liu HF,Chen ZG,Lineaweaver WC,Friel MT,Zhang F

    更新日期:2017-06-01 00:00:00

  • The use of a retroauricular fascioperichondrial flap in the recreation of the antihelical fold in prominent ear surgery.

    abstract::The surgical treatments for prominent ears are on the basis of the approach over the basics of the deformity decrease the concha-mastoid angle and create a new antihelical fold. The author describes a new retroauricular flap to be used in the recreation of the antihelical fold and critically analyzes the cosmetic resu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318195bfdd

    authors: Frascino LF

    更新日期:2009-11-01 00:00:00

  • The history of the artificial eye.

    abstract::The history of the artificial eye, from antiquity to the present, is described. Around the beginning of the nineteenth century, glass eyes replaced the earlier metal ones--not always well tolerated. In 1835, cryolite glass was used instead of lead glass; to this day it remains the lightest and most desirable substance...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00000637-197908000-00014

    authors: Martin O,Clodius L

    更新日期:1979-08-01 00:00:00

  • An ideal stent for reliable and efficient skin graft application.

    abstract::A simple, efficient, yet expedient method producing an ideal stent has proved to be highly reliable in over 150 clinical cases. When performed technically correctly, 100% graft take may be anticipated under most grafting circumstances. The method uses Reston (3-M Company, St. Paul, MN), a synthetic urethane foam pad, ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198407000-00005

    authors: Weiner LJ,Moberg AW

    更新日期:1984-07-01 00:00:00

  • Reconstruction of advance head and neck cancer patients after tumor ablation with simultaneous multiple free flaps: indications and prognosis.

    abstract::Simultaneous multiple free flaps have become a useful option in head and neck reconstructions. We performed a 10-year retrospective study between 2001 and 2010. There were 58 men and 1 woman. The overall mortality rate was 51.7%. The longest surviving patient is 9 years and 4 months, whereas the shortest surviving pat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318274a49f

    authors: Chien SH,Hsu H,Huang CC,Lee CY,Chiu CH,Lin CM

    更新日期:2012-12-01 00:00:00

  • An alternative dressing material for the split-thickness skin graft donor site: oxidized regenerated cellulose.

    abstract::The split-thickness skin graft (STSG) donor sites have been treated with various and plenty of dressing techniques and materials. An ideal STSG donor site dressing should have antibacterial, hemostatic, and promoting epidermal healing properties. We have performed a prospective study to evaluate the effect of the oxid...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000208945.12083.59

    authors: Uysal AC,Alagoz MS,Orbay H,Sensoz O

    更新日期:2006-07-01 00:00:00

  • Nasal reconstruction after severe facial burns using a local turndown flap.

    abstract::Reconstruction of the nose after severe burn injury is a challenging problem. There are usually associated facial burns, which limits the availability of local flaps. Reconstruction with unburned distant tissue is often not appropriate because of the resulting mismatch in color and texture. Successful nasal reconstruc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31817d87ed

    authors: Taylor HO,Carty M,Driscoll D,Lewis M,Donelan MB

    更新日期:2009-02-01 00:00:00

  • Reconstruction of Soft Tissue Defects Around the Knee With Pedicled Perforator Flaps.

    abstract:PURPOSE:To study the availability and effects for application of 4 kinds of perforator flaps in repairing skin and soft tissue defects in different positions around the knee joints. METHODS:The present study included 26 cases (16 males and 10 females) with soft tissue defects with ages from 7 to 82 years who came to o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001544

    authors: Li Z,Li P,Tan Q

    更新日期:2018-10-01 00:00:00

  • A novel method of auricular reconstruction.

    abstract::Seven male patients and 8 total ears underwent composite excision for neoplasm of the auricular helix. Defect size ranged from 2.5 to 4.5 cm exceeding the conventional limit of l.5 cm for wedge excision with primary closure. An incision at the root of the helix released the superior auricular muscle and a portion of t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181a395fb

    authors: McRae MC,Au A,Narayan D

    更新日期:2009-05-01 00:00:00