Treatment of varicella skin scars with sequential punch elevation, autologous fat injection and fractional CO2 laser

Varicella is a common viral infection that occasionally results in scar. Despite a number of measurements taken to combat this infection, they have all been either impractical or limited.The current study presents a 28-year-old woman diagnosed with varicella 10 years ago which caused her to have several depressed skin scars over the face. She was subjected to sequential treatment of punch elevation, fractional CO2 laser therapy, and autologous fat injection in one session. Over two years of postoperative follow-up, remarkable aesthetic improvements were observed in her face. This method had some advantages including high speed, convenience, application of conventional medical devices, and the minimal manipulation. The only limitation of our method was mild-to-moderate improvement of the previous hyperpigmentation of the scar.