• Ari Raheem Qader Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Kazim A Kakaways Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Hawree Abdulsattar Hasan Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Ari Hasan Rashid Board candidate at Kurdistan Board of Medical Specialties, Kurdistan Region, Iraq.



Facial graft, Fat graf



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.


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.


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. 


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.


Trivedi N, Vhankade R. Minimizing Facial and Periocular Scars. Gujarat Ujarat Medical Journal. 2012; 67(2):104-9.

Trudged EE, Levi B, Donelan MB. Biology and Principles of Scar Management and Burn Reconstruction. Surg Clin North Am. 2014; 94(4):793-815. DOI:

Wolfram D, Tzankov A, Pülzl P, Piza-Katzer H. Hypertrophic scars and keloids--a review of their pathophysiology, risk factors, and therapeutic management. Dermatol Surg. 2009; 35: 171-181. DOI:

Murano I., Zingaretti C. M.. The adipose organ of Sv129 mice contains a prevalence of brown adipocytes and shows plasticity after cold exposure. Adipocytes.2005; 1: 121–130.

Bezie M, Mesfin Y, Biyazen H. Stem Cell Biology and its Role in Regenerative Medicine: A Concept Shaping the Future of Medicine. J Regen Med .2016;vol5(1):1-8 DOI:

Lodi D, Iannitti T, Palmieri B. Stem cells in clinical practice: applications and warnings. J Exp Clin Cancer Res 2011; 30(1): 9. DOI:

M. W. Blanton, I. Hadad, B. H. Johnstone et al., “Adipose stromal cells and platelet-rich plasma therapies synergistically increase revascularization during wound healing,” Plastic and Reconstructive Surgery.2009; vol. 123(2): 56S–64S. DOI:

PalluaN, Baroncini A, AlharbiZ, Stromps J. Improvement of facial scar appearance and microcirculation by autologous lipofilling. J Plast Reconstr Aesthet Surg. 2014;67(8):1033-1037 DOI:

van der Wal MB1, Tuinebreijer WE, Bloemen MC, Verhaegen PD, Middelkoop E, van Zuijlen PP. Rasch analysis of the Patient and Observer Scar Assessment Scale (POSAS) in burn scars. Qual Life Res. 2012 Feb;21:13-23. DOI:

Klinger M, Marazzi M, Vigo D, Torre M. Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reduction. Aesthetic Plast Surg. 2008; 32: 465-469. DOI:

Mazzola, R.; Cantarella, G.; Torretta, S.; Sbarbati, A.; Lazzari, L.; Pignataro, L. Autologous fat injection to face and neck: From soft tissue augmentation to regenerative medicine. Acta Otorhinolaryngol. Ital. 2011, 31, 59–69

Sydney R. Coleman. Structural Fat Grafting: More Than a Permanent Filler.PRSJ.2006; 118(3S):108S-120S. DOI:

Khater R, Atanassov P. Autologous Fat Grafting –Factors of Influence on the Therapeutic Results. Current Concepts in Plastic Surgery. 2010; 183-210.

Vico PG, Delange A, Vooght AD. Autologous Fat Transfer: An Aesthetic and Functional Refinement for Parotidectomy. Surgery Research and Practice. 2014; 2014 Jan 8:1-6. DOI:

Modarressi A. Platlet Rich Plasma (PRP) Improves Fat Grafting. PRP in fat grafts. World J Plast Surg. 2013 Jan;2(1):6-13 .

Arcuri F, Brucoli M, Baragiotta N, Stellin L, Giarda M, Benech A. The Role of Fat Grafting in the Treatment of Posttraumatic Maxillofacial Deformities. Craniomaxillofacial Trauma and Reconstruction.2013; 6(2):121-126. DOI:

Carpaneda CA, Ribeiro MT. Study of the Histologic Alterations and Viability of the Adipose Graft in Humans. Aesth Plast Surg.1993 June; 17:43-47. DOI:

Coleman RS. Lower Lid Deformity Secondary to Autogenous Fat Transfer: A Cautionary Tale. Aesthetic Plastic Surgery. 2008 January; 32:415-7. DOI:

Draaijers LJ, Tempelman FRH, Botman YAM, Tuinebreijer WE, Middelkoop E, Robert W, et al. The Patient and Observer Scar Assessment Scale: A Reliable and Feasible Tool for Scar Evaluation. PRSJ. 2003; 113(7):1960-5. DOI:

Vallejo A, Urban C ,Zucca-Matthes G, Rietjens M. Is there enough evidence to use lipofilling in breast cancer reconstruction? Plast Reconstr Surg. 2013; 132(4):689-91. DOI:

Hammer-Hansen N, Akram J, Damsgaard TE. The Versatility of Autologous Fat Transplantation in Correction of Facial Deformities: A Single-Center Experience. Plastic Surgery International. 2015 Mar:1-6. DOI:



How to Cite

Qader A, Kakaways K, Hasan H, Rashid A. CONTINUOUS RUNNING SUTURING VERSUS SUBCUTICULAR SUTURING TECHNIQUES IN UPPER BLEPHAROPLASTY. JSMC [Internet]. 2020 Dec. 21 [cited 2024 Apr. 16];10(3):283-9. Available from:

Similar Articles

1-10 of 40

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)