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Figure 6: The case of a 36-year-old woman with boxcar acne scars,
treated with platelet-rich plasma and nanofat injection and laser CO 2 . (A)
Figure 4: Student t-test for unpaired data. Pre-op: 8.818 ± 1.661, n = preoperative situation; (B) 3 months after the second treatment
11; post-op: 25.00 ± 0.8421, n = 11; P < 0.0001

Figure 7: The case of a 41-year-old man with boxcar scars, treated with
platelet-rich plasma and nanofat injection. (A) preoperative situation; (B) 3
Figure 5: The case of a 33-year-old woman with icepick scar treated months after the second treatment
with platelet-rich plasma and nanofat injection and laser CO 2 . (A)
preoperative situation; (B) 3 months after the second treatment
augmentation, another effective treatment of superficial
physically remove the superficial layers of the skin, thus atrophic acne scars which is characterised by the
inducing the wound-healing process with subsequent injection of hyaluronic acid or calcium hydroxylapatite,
formation of new collagen; ablative lasers, which are poly-L-lactic acid, or even autologous fat to replace lost
[9]
[10]
effective in the treatment of atrophic scars; nonablative tissue volume while simultaneously inducing collagen
[16]
radiofrequency, which gives better results in the treatment production via stretching of dermal fibroblasts. The
of ice pick scars, compared to the use in more superficial idea of our protocol came from the patients’ request to
[11]
scars; subcision, a more physically intensive technique search a satisfactory solution to the problem of atrophic
useful for treatment of superficial atrophic acne scars; scars of the face. These scars are not only the outcome
[12]
skin needling, also referred to as collagen induction of a devastating inflammatory disease for the patient’s
therapy, which makes use of vertical needle punctures to appearance, but in severe cases constitute the reason
[13]
treat rolling and boxcar scars; punch techniques, useful of relational and psychological problems. We think the
for treating deeper atrophic acne scarring, which are atrophic acne scars should be treated as “dips” to fill
difficult to be treated otherwise; chemical peels, which and smooth. In fact, scars are found in the subcutaneous
[14]
traditionally employ acidic compounds to strip away the tissue, thus making a decisive surface treatment difficult
outer layers of skin at variable depths, depending on the to obtain. Scars need also a stimulation to maintain
[15]
concentration of the agent being applied; soft-tissue that volume. The best treatment is to fill the scars and
238 Plast Aesthet Res || Volume 3 || July 7, 2016