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

Cho, Min Su; Hong, Yoon Gi; Seo, Sang Won; Chang, Choong Hyun

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(6):787-790.
Published online November 1, 2005.

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

Min Su Cho, Yoon Gi Hong, Sang Won Seo, Choong Hyun Chang

Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea. eppeen@hanmail.net

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: Dermofat graft; Depressed scar; Scar revision