A recent article by Nguyen and Magalon demonstrated that microfat injections, performed by 0.8 mm microcannula in a mouse model of dermal fibrosis, allow better skin graft revascularization [19]. This hypothesis may possibly explain the improvement of the results observed in our cases of epidermal cell suspension combined to lipofilling, if compared to vitiligo patients treated in our Institute, without concurrent subdermal grafting. Our preliminary observation

is confirmed also Crenolanib cost from Daumas and Magalon who reported encouraging results in Leukoderma obtained through subdermal fat grafts [20]. The results obtained in our first patient were stable at 12 months and did not require any further fat volume filling, demonstrating also good trophic effects on the

dermis of the skin grafted area. In 1992 Humbley and Carruthers described selleck screening library four clinical cases of nasal depressed scars treated by fat lipofilling, reporting persistent excellent results. They recommended to use minimally invasive subdermal dissection technique and where possible to correct large depressions repeating two or three times the grafting procedures, to prevent fat resorption and skin necrosis [21]. In our opinion the combination of lipofilling with epidermal cell suspensions, transferred in autologous plasma, BAY 73-4506 showed very good results if compared to those expected from separate procedures. Anyway we can’t demonstrate, with this preliminary report, if the results we have obtained, could be really superior FAD to traditional procedures. We are convinced empirically that lipoinjections can produce a revitalization

and revascularization of the atrophic scarred dermis, enhancing the engraftment of the epidermal cells [22–24]. These clinical observations naturally have to be statistically demonstrated on a larger sample of patients. Finally we have to mention that cost expenses of the procedures used in this trial are low and affordable, in particular they don’t require special commercial devices or prefabricated cellular preparation kits. Conclusions The Authors report three successful cases of simultaneous lipofilling and epidermal cell suspension grafting for the treatment of skin graft sequelae, in nasal wide cutaneous cancer resected patients. The combination of this two techniques, despite of the lack of scientific evidence in the literature, allowed the simultaneous correction of nasal depression and the restoration of a dyschromic/dystrophic skin coverage. The results obtained demonstrated to be stable at the 12 months follow-up with an evident good unexpected trophic effect on the dermis of the skin grafted area. The cell therapy used is cost effective as well as the lipotransplantation procedures.