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occipital nerve.                                    inhibitory factors expressed by the extracellular matrix.

           We  are  postulate  that  our results  are  due  to  the   Based on our experience, we consider autologous fat grafting
           induction of architectural remodeling and regeneration,   as an innovative solution for neuropathic pain syndromes
           neovascularization and improved hydration by fat grafting.   that are related to scar retraction. The low complication rate
           This leads tothe release of scar entrapment and anatomical   and good results indicate that it should be considered as a
           remodeling.                                         effective treatment option.

           We further evaluate the effect of autologous fat grafting on   Financial support and sponsorship
                                           [6]
           nerve function in our recent case report  where we describe   Nil.
           the case of a 45-year-old male patient who presented with
           a retracted and painful scar in  the  nasolabial fold. This   Conficts of interest
           scar of traumatic origin was associated with partial motor   There are no conflicts of interest.
           impairment of the muscles of the mouth. We observed
           complete restoration of movement  with two cycles of   REFERENCES
           autologous fat grafting at the one year follow-up.
                                                               1.   Tos P, Crosio A, Pugliese P, Adani R, Toia F, Artiaco S. Painful scar neuropathy:
           The presence of mesenchymal multipotent stem cells in the   principles of diagnosis and treatment. Plast Aesthet Res 2015;2:156-64.
           adipocyte cell fraction of the graft have been demonstrated   2.   Klinger FM, Vinci V, Forcellini D, Caviggioli F. Basic science review on adipose
           histologically. These are cells that are responsible for scar   3.   tissue for clinicians. Plast Reconstr Surg 2011;128:829-30.
                                                                  Klinger M, Lisa A, Klinger F, Giannasi S, Veronesi A, Banzatti B, Bandi V, Catania
           remodeling through engraftment  and differentiation.   B, Forcellini D, Maione L, Vinci V, Caviggioli F. Regenerative Approach to Scars,
           Their presence  induces fat and loose connective tissue   Ulcers and Related Problems with Fat Grafting. Clin Plast Surg 2015;42:345-
           regeneration that leads to increased scar softness and   4.   52.
                                                                  Caviggioli F, Maione L, Forcellini D, Klinger F, Klinger M. Autologous fat graft
           neurolysis.                                            in postmastectomy pain syndrome. Plast Reconstr Surg 2011;128:349-52.
                                                               5.   Gaetani P, Klinger M, Levi D, Bussone G, Giannasi S, Caviggioli F, Marazzi M,
           Furthermore, we hypothesize that autologous fat graft could   Broggi G. Treatment of chronic headache of cervical origin with lipostructure:
           induce molecular changes in the microenvironment of the   an observational study. Headache 2013;53:507-13.
           post-traumatic scar. This environment is otherwise hostile   6.   Klinger M, Lisa A, Caviggioli F, Maione L, Murolo M, Vinci V, Klinger FM.
                                                                  Autologous  Fat  Grafting  Improves  Facial Nerve  Function.  Case  Rep  Surg
           to nerve regeneration due to the presence  of intrinsic   2015;2015:520746.















































           Plast Aesthet Res || Vol 3 || Issue 2  || Feb 29, 2016                                              69
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