Subcison with Fat Transfer

Abstract

Scars are many times tethered by scar to the tissues beneath the skin, usually fascia that may cause an unsightly depression. Simply filling the depression with autologous fat or other permanent filler may not raise the skin permanently off the deep scar attachment. At the same time only subcising will result in reattachment of the skin to the underlying scar. There is a need to subcise and add a filler underneath in the region of detachment in order to prevent reattachment. Autologous fat is simple to obtain, inexpensive, and can be permanent. The technique is described.