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Letter to Editor Plastic and Aesthetic Research

Painful scar neuropathy: principles of

diagnosis and treatment

Andrea Lisa , Matteo Murolo , Luca Maione , Valeriano Vinci , Valeria Bandi ,
1
1
1
1
1
Francesco Klinger , Marco Klinger 1
2
1 Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Humanitas Clinical and
Research Center, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy.
2 Reconstructive and Aesthetic Plastic Surgery School, MultiMedica Holding S.p.A., Plastic Surgery Unit, University of Milan
Sesto San Giovanni, 20099 Milan, Italy.
Address for correspondence: Dr. Marco Klinger, Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine
BIOMETRA, Humanitas Clinical and Research Center, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano,
20099 Milan, Italy. E-mail: marco.klinger@humanitas.it

Born in Milan, Prof. Marco Klinger graduated in Medicine at Milan University. He subsequently obtained
specialization in Plastic Surgery and in Microsurgery. He was Clinical fellow at Harvard Medical School in
Boston and at Manuel Gea Gonzales Hospital in Mexico City. Actually he is director of Plastic Reconstructive
and Aesthetic Surgery School. His activity is based on skin cancer treatment, breast reconstruction, aesthetic
surgery, dimorphism and malformation correction, scar treatment, post bariatric surgery and he is conducting
researches on tuberous breast and on autologous fat graft in scars.

Dear Editor, from the flank or abdominal region. The fat is then
processed by centrifugation at 3,000 rpm for 3 min and
We read with interest the article entitled “Painful scar re-injected with an 18-gauge hypodermic needle into the
neuropathy: principles of diagnosis and treatment” (Plast scar.
Aesthet Res Vol 2, Issue 4, Jul 15, 2015) where Tos et al.
[1]
presented a literature review of treatment approaches to We have used fat grafting for the treatment of
peripheral nerve scar neuropathy and the outcomes of neuropathic pain conditions such as post mastectomy
[4]
neurolysis-associated procedures. pain syndrome. This is a chronic neuropathic syndrome
characterized by persistent pain in the anterior side of
the thorax, axilla, and may include the upper half of the
We would like to contribute our treatment experience of
neuropathic pain with autologous fat grafting. arm that begins after mastectomy or quadrantectomy.
We observed statistically significant pain reduction when
autologous fat grafting was used to treat this, evaluated
Autologous fat grafting is a safe technique that has on a visual analog scale scale.
been used to treat various pathologic conditions in
reconstructive surgery. We applied its regenerative We also performed autologous fat grafting for the
properties to treat burn and hypertrophic scars and treatment of another neuropathic pain condition, Arnold
[3]
[2]
have achieved issue release and quality improvement. neuralgia. Arnold neuralgia is a chronic headache of
[5]
cervical origin caused by scar entrapment of the great
Using Coleman’s technique, we harvested adipose tissue
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How to cite this article: Lisa A, Murolo M, Maione L, Vinci V,
DOI: Bandi V, Klinger F, Klinger M. Painful scar neuropathy: principles
10.20517/2347-9264.2015.106 of diagnosis and treatment. Plast Aesthet Res 2016;3:68-9.
Received: 30-09-2015; Accepted: 10-11-2015
68 © 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc.