Abstract
Background
Over the past few years, treatment of burn scars with lipofilling has shown encouraging clinical results in terms of texture, color, softness, and quality of skin patterns. This clinical application has been widened to include treatment for scars resulting from surgical correction of cicatricial ectropion. In fact, although standard surgery with flaps and skin grafts can grant significant functional and cosmetic improvements, these often are not complete because of secondary surgical scars.
Methods
The case of a 43-year-old man with cicatricial outcomes from chemical burns and subsequent surgical repair of medial ectropion in the lower eyelid is reported. The scar area was treated with injection of adipose tissue harvested from abdominal subcutaneous fat and processed according to Coleman’s technique.
Results
At the 1-year follow-up assessment after lipostructure, the patient no longer reported xeroftalmia and epiphora. He had experienced complete functional recovery with excellent cosmetic results.
Conclusions
Lipostructure of cicatricial ectropion seems to complete and improve the results of the standard surgical approach, and its long-lasting benefits are in keeping with the theoretical basis of this procedure.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Billings E Jr, May JW Jr (1989) Historical review and present status of free fat graft autotransplantation in plastic and reconstructive surgery. Plast Reconstr Surg 83:368–381
Brzoska M, Geiger H, Gauer S, Baer P (2005) Epithelial differentiation of human adipose tissue-derived adult stem cells. Biochem Biophys Res Comm 330:142–150
Coleman SR (1995) Long-term survival of fat transplants: Controlled demonstrations. Aesth Plast Surg 19:421–425
Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367
De Ugarte DA, Ashjian PH, Elbarbary A, Hedrick MH (2003) Future of fat as raw material for tissue regeneration. Ann Plast Surg 50:215–219
Ellenbogen R (2000) Fat transfer: Current use in practice. Clin Plast Surg 27:545–556
Klinger M, Marazzi M, Vigo D, Torre M: Fat injection in severe burn outcomes: A new persepective of scar remodeling and reduction. Aesth Plast Surg (in press)
Liebau J, Schulz A, Arens A, Tilkorn H, Schwipper V (2006) Management of lower lid ectropion. Dermatol Surg 32:1050–1056
Manku K, Leong JK, Ghabrial R (2006) Cicatricial ectropion: Repair with myocutaneous flaps and canthopexy. Clin Exp Ophthalmol 34:677–681
Mitchell P, Hinchcliffe P, Wang JJ, Rochtchina E, Foran S (2001) Prevalence and associations with ectropion in an older population. Clin Exp Opthalmol 29:108–110
Moe KS, Kao CH (2005) Precaruncular medial canthopexy. Arch Facial Plast Surg 7:244–250
Mojallal A, Foyatier JL (2004) Historical review of the use of adipose tissue transfer in plastic and reconstructive surgery. Ann Chir Plast Esthét 49:419–425
Neuber GA (1893) Fettransplantation. Langenbecks Arch Klin Chir Ver Dtsch Z Chir 22:66
Tholpady SS, Llull R, Ogle RC, Rubin JP, Futrell JW, Katz AJ (2006) Adipose tissue: Stem cells and beyond. Clin Plast Surg 33:55–62
Zuk PA, Zhu M, Ashjian P, De Ugarte DA, Huang JI, Mizuno H, Alfonso ZC, Fraser JK, Benhaim P, Hedrick MH (2002) Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell 13:4279–4295
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Caviggioli, F., Klinger, F., Villani, F. et al. Correction of Cicatricial Ectropion by Autologous Fat Graft. Aesth Plast Surg 32, 555–557 (2008). https://doi.org/10.1007/s00266-008-9117-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-008-9117-y