Use of autologous fat graft and fractiononal co 2 laser to optimize the aesthetic and functional results in patients with severe burn outcomes of the face.

BACKGROUND: Facial burn outcomes are often difficult to treat. Residual scars represent a problem for aesthetic and functional concerns as well as for patient's social and psychological life. Autologous fat graft can be used in the treatment of burn outcomes, providing a sensitive improvement in the quality of the burned areas. The aim of our report is the discussion of the value of lipofilling and fractional CO2 laser in optimizing aesthetic and functional results of burn sequelae.

METHODS: We treated twenty four patients with post burns scars who underwent to autologous fat graft followed by CO2 fractional laser treatment.

RESULTS: At one year follow up all the patients noted an improvement of their clinical condition, with a better texture, softness, color and elasticity of the skin.

CONCLUSIONS: Lipofilling combined to CO2 laser can complete and improve the results of the standard surgical approach used in burned patients.