Unsightly scars pose a challenge to the plastic surgeon because apart from their appearance, they might be adhered to the underlying structures. This situation is complicated when the scar becomes hypopigmented and is found in individuals with Fitzpatrick Type V skin types. Autologous fat transfer following subcision has been depicted as an important modality in the management of unsightly scars that are additionally depressed. Microskin grafting can alter hypopigmented areas if applied judiciously. Taken in combination, these methods of scar revision can be important tools in the armamentarium of the plastic surgeon. We hereby portray a case of an unsightly facial scar adherent to the underlying structures in a woman with Fitzpatrick skin type V, who was successfully managed with a combination of subcision, autologous fat transfer and microskin grafting.
Fat transfer, microskin grafting, unsightly scar.