Simultaneous Correction of Depressed Scar Using Dermofat Graft Harvested during Scar Revision

다발성 안면 반흔을 가진 환자의 반흔 절제술에서 얻은 진피지방을 이용한 함몰 반흔의 동시교정

  • Cho, Min Su (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University) ;
  • Hong, Yoon Gi (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University) ;
  • Seo, Sang Won (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University) ;
  • Chang, Choong Hyun (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University)
  • 조민수 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 홍윤기 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 서상원 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 장충현 (성균관대학교 의과대학 삼성서울병원 성형외과학교실)
  • Received : 2005.08.19
  • Published : 2005.11.10

Abstract

While no scar can be completely erased, most linear facial scars can result in a relatively good scar after revision. However, in case of round shaped depressed scar, the scar is often lengthened following an incisional technique. This study focuses on the technique of dermofat graft harvested from the adjacent scars for correction of depressed scars. 18 patients having multiple facial scars with a depressed scar among 375 patients who had undergone scar revision were treated from June 2003 to May 2004. Dermofat was harvested from the adjacent linear scar, then it was deepithelialized, reshaped, and grafted to the depressed scar through a small incision. Cosmetic results were generally good. Complications were overcorrection in 4 patients; hyperpigmentation occured in 1 patient. However, 13 patients were satisfied with the results. The advantages of our technique are as follows: it does not require additional operation; dermofat graft has low absorbable rate; it can maintain the volume with an adequate texture.

Keywords

References

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