In the history of plastic surgery have been proposed various methods of care treatment and prevention of pathological scars. The novelty of recent years, however, is represented by the so-called regenerative medicine and its application in reconstructive and aesthetic plastic surgery and aesthetic medicine.
It speaks of biomolecular medicine, bioengineering tissue with the use of autologous materials (of the same patient) and grown or of animal origin or constructed in the laboratory, capable of stimulate the tissues cutaneous, subcutaneous, towards a healing advance. Some of these products are capable of driving the cells responsible for healing scar towards a ‘neat’, that is, with little risk of becoming pathological.
It follows, therefore, the ‘wider use of growth factors and stem cells present in autologous blood (PRP) and adipose tissue (Lipofilling) in the treatment of pathological scarring and scars of different origin.
The treatment can be repeated, is ambulatory and not painful: the preparation of such blood components is performed at the Blood Center at the Hospital or Health Care Clinics enabled to use this organic product.
The PRP is obtained by using sophisticated equipment that can, by centrifuging the blood collected from the patient, to produce the PRP (platelet rich plasma) containing growth factors useful for tissue repair. The results are visible after a few applications, (at least 3-4), which are carried in the media at a variable distance from one another in relation to the cases.
At a distance of at least 2-3 months of treatment, you may find a better consistency of the skin scar, with a reduction in amplitude of the same.
The scars inflamed, reddened and painful not to be treated with such therapy, being the PRP stimulus initially inflammatory that, only in a second phase, determines a positive reaction to ‘cellular awakening’. This method therefore needs to be given to scarring ‘tired’, long a bit ‘slumbering in a clinical form of scar being stabilized now quiescent, that is not active.
The Lipofilling is nothing but a fat transplantation. Today it is another treatment of great attraction. Is a transplant of fat cells taken to the patient with a miniliposuzione, preferably in elective areas (periumbilical, internal knee) or choice of the patient and injected in the scar. Its action is twofold: filling in cases of atrophic scars or endorsed and stimulus to other fat cells in the patient.
The Lipofilling is performed under local anesthesia of ‘pick-up area of the fat or day hospital.
It is a method feasible even in the healing phase recently, not yet stabilized. Also is repeatable at intervals of 3-4 months, for the physiological resorption of a portion of the transplanted fat.
Today these two methods, PRP and lipofilling, often are used and mixed them and obtaining a reduction in amplitude of the scar and an overall improvement of the same.