Joris van Dongen

155 The power of fat and ASCs for scar treatment: a review Follow up Results Complications Evaluation of patient satisfaction (mean follow up of 21.3 months) Patients described functional and aesthetical improvement and were all satisfied. 2 cases with severe retraction needed 1 additional lipofilling procedure. No complications reported A POSAS, tissue oxygen saturation, hemoglobin levels and microcirculation (Doppler spectrometry) measurements performed (pre-operative, 1 month, 3 months, 6 months and 12 months follow-up). Improvement in overall POSAS scores, both patient score as observer score.** Only 12 months scores mentioned. Early postoperative measurements revealed increased hemoglobin levels and reduced microcirculation, but both normalized after 7-90 days. No complications reported Aesthetic and functional scores were measured using a 5-grade scale (mean follow-up of 39.9 months). Skin scoring tests revealed more softness, more pliability and improvement of skin quality of the irradiated skin. No scores mentioned. No complications reported Capsular contracture was measured using Bakers' classification. Patients’ satisfaction was evaluated using a 3-grade scale. (Mean follow-up of 18 months). 7 complications reported in the control group compared to none in the lipofillinggroup.* Higher capsular contracture rates in the control group compared to the lipofilling group. Patient satisfaction increased, but no scores were mentioned. No complications reported Dermal elasticity (Cutometer), vascularity and pigmentation (Derma- Spectrometer) measured. Patients' perception (POSAS) and observers' perceptions (POSAS and VSS) evaluated. (preoperative and 12-16 months postoperative) Increase of dermal elasticity** and no difference in vascularization and pigmentation. Decrease of scar stiffness and thickness in patients' perception.** Less relief and pliability in observers' perception using a POSAS, pliability decrease was confirmed using a VSS.**No differences in vascularization and pigmentation (POSAS and VSS). Not mentioned Effect of fat grafting on the skin was evaluated by severity of irregularity, quality of skin patterns and visual impact. Overall satisfaction was evaluated using a 5-grade scale. (Follow up of 3-44 months). 9 cases scored 4-5 and 3 cases scored 3 on the satisfaction scale after treatment. Improvement in skin texture was observed in all cases. Softening of hypertrophic scars was observed, started 1 month postoperative and continued to 12 months postoperative. No preoperative scores mentioned. 1 case with cellulitis in the feet and calves Photographic analysis by 3 independent observers using a visual 5-grade scale (mean follow- up of 266 days). Less cleft lip related deformity in overall facial, upper lip, nose and midface appearance(<6 months) and in upper lip appearance (>6 months).* No significant improvement in cleft lip related deformity in the overall nose area (<6 months) and overall facial and midface area (>6 months). Not mentioned