title: [Fat grafting in facial burns sequelae].
abstract: BACKGROUND
  Fat graft is now part of the armamentarium in face plastic surgery. It is successfully used in burn scars. The aim of our study is the discussion of the value of this technique in optimizing cosmetic result of burns face sequelae.
  
  
  METHODS
  Fifteen adult patients (10 females and five males) with scars resulting from severe burns 2 to 9 years previously were selected. The patients were treated by injection of adipose tissue harvested from abdominal subcutaneous fat and processed according to Coleman's technique. Two to three injections were administered at the dermohypodermal junction. Ages, sexes, aetiology of burn, facial burn sequelae, recipient sites, quantity of fat injected, aesthetic results are discussed.
  
  
  RESULTS
  Patient age ranged from 21 to 55 years (average: 38). The mean follow-up of the study was 66 months (23-118). Patients received 7.5 (5-11) facial restorative surgeries before fat graft. Patients underwent two sessions of fat transfer, 33cc average per session. We did not report any complications. The clinical appearance, discussed by three surgeons and subjective patient feelings, after a 6-month follow-up period, suggests considerable improvement in the mimic features, skin texture, and thickness. The result is good in 86% of cases and acceptable in the other cases.
  
  
  CONCLUSIONS
  Burns sequelae offer local conditions which justify special cannula can cross fibrosis and explaining the value of multiplying the sessions. Indications for lipostructure include four distinct nosological situations, sometimes combined. Lipostructure can restore a missing relief, filling a localized depression, reshape a lack of face volume or smooth a scarring skin.
  
  
  CONCLUSIONS
  Fat graft seems to complete and improve the results of the standard surgical approach in burned face.
authors.affiliation: Service de chirurgie plastique réparatrice et esthétique et centre des brûlés, hôpital Saint-Luc-Saint-Joseph, 20 quai Claude-Bernard, Lyon cedex 07, France. romainviard@yahoo.fr
authors.forename: R
authors.initials: R
authors.lastname: Viard
authors.forename: J
authors.initials: J
authors.lastname: Bouguila
authors.forename: D
authors.initials: D
authors.lastname: Voulliaume
authors.forename: J-P
authors.initials: JP
authors.lastname: Comparin
authors.forename: A
authors.initials: A
authors.lastname: Dionyssopoulos
authors.forename: J-L
authors.initials: JL
authors.lastname: Foyatier
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D002056:Burns / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D005149:Facial Expression; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies; D055815:Young Adult