Augmentation of Atrophic Deprssed Scars Utilizing the Deepithelialized Scar Tissue Itself

Background: Various surgical techniques and modalities have been used to treat scars, but non showed definite efficacy controlling that abnormally-placed fibrous tissue. Contractile forces of healing in addition to the nature of primary injury greatly influence the final scar appearance. Atrophic depressed scars are a major challenge that a Plastic Surgeon may ever face. Lack of dermal skin layer should be replaced for a perfect reconstructive surgery result. Objective: To augment the atrophic depressed scars with autologous tissue that is already present in-place reaching aesthetically pleasant reconstructive results; the de-epithelized scar tissue itself. Methods: Thirty-seven (37) patients with atrophic and depressed scars (caused by trauma) were surgically treated with scar revision surgery where the authors employed the scar tissue itself after being de-epithelized for augmentation of the absent or abundant atrophic scars' dermal layer. The assessment of the results was conducted by comparison of the before and after surgery photographic documentation 6 months following segmentation surgery as well as patients' satisfaction. Results: Dramatic improvement of the scar morphology with good patients’ satisfaction has been obtained.