%0 Journal Article
%T Single session of combined microfat and subcision in the treatment of Grade 4 atrophic acne scars.
%A Zhang X
%A Huang B
%A Yang M
%A Yin B
%A Cai L
%A Tang X
%A Li F
%A Han X
%J J Cosmet Dermatol
%V 21
%N 10
%D Oct 2022 17
%M 35038371
%F 2.189
%R 10.1111/jocd.14784
%X <B>BACKGROUND: </B>Severe atrophic acne scars (AAS) remain the "Achilles's heel" of AAS treatment. The combination of microfat and subcision treatment is a potential solution for severe AAS.<BR><B>OBJECTIVE: </B>This study aimed to evaluate the efficacy and safety of combined microfat and subcision treatment for severe (Grade 4) AAS.<BR><B>METHODS: </B>Data of patients with Grade 4 AAS who underwent combined microfat and subcision treatment between September 2016 and December 2020 were reviewed. Post-treatment evaluation was performed at least 3 months postoperatively. The severity of AAS was graded based on Goodman's qualitative classification. The volume of concavities was measured using an Antera 3D camera. Complications were documented.<BR><B>RESULTS: </B>A total of 42 patients received a single treatment session. Excellent response was observed in 5 (11.9%) patients, very good in 13 (31.0%), good in 22 (52.4%), and poor response in 2 (4.7%). The average reduction of the total volume of concavities was 28.0%. The most common minor side effects were mild swelling and bruising. No major complications were observed.<BR><B>CONCLUSIONS: </B>Combined microfat and subcision treatment is a safe and effective treatment for severe AAS. The approach will be a significant treatment for severe AAS.