CONTINUOUS RUNNING SUTURING VERSUS SUBCUTICULAR SUTURING TECHNIQUES IN UPPER BLEPHAROPLASTY

Ari Raheem Qader a, Kazim A Kakaways a, Hawree Abdulsattar Hasan a, and Ari Hasan Rashid b


a Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 
b Board candidate at Kurdistan Board of Medical Specialties, Kurdistan Region, Iraq. 


Submitted: 30/9/2019; Accepted: 1/12/2020; Published: 21/12/2020
ABSTRACT


Background 

Autologous fat grafting widely used in plastic surgery not just for filling the defect, but also for improvement of Scars, this effect of autologous fat may originate from variable contents of adult stem cells and varieties of growth factors in the Lipo - aspirate.


Objectives 

To show the effect of autologous fat grafting on improvement of facial scar.


Patients and Methods

Twenty patients with thirty two facial scars, submitted to be treated by autologous fat injection, between April of 2015 - March of 2016 in plastic surgery department and burn Center Hospital in Sulaimani. Preoperative and postoperative follow up include use of patients and observers Scar assessment scale (POSAS) and Photo documentation in first, third and sixth months.


Results

During sixth months of follow up, refinement of scar achieved in all cases, with satisfaction of both patients and observers and all scores of POSAS was significantly improved, for instance; pliability (p<0.001) and stiffness (p<0.001), itching (p<0.008) and so on. 


Conclusion

Autologous fat graft is not foreign material, easily achieved; its procedure is minimally invasive. It is very good way to improve scars of face, mainly burn scar. Bigger sample and more follow up time are necessary to delineate the exact effective of autologous fat graft injection on scar.



KEYWORDS

Facial graft; Fat graf.