Level B· Emerging Clinical Evidence

Efficacy and safety of stromal vascular fraction on scar revision surgery: a prospective study

Kwon H., Lee S., Kim J., Song S.H.

Prospective double-blind study in 20 patients comparing an SVF-injected side with a saline-injected side of the same scar.

Study type
Prospective Study
Journal
Journal of Dermatological Treatment (2023)
Country
South Korea
Sample size
20
Follow-up
6 months
PMID
36661928
DOI
10.1080/09546634.2023.2171260

What was studied

Whether SVF improves scar revision outcomes versus saline in a within-patient comparison.

Methods

  • After scar revision by a single surgeon, 0.1 mL/cm of SVF was injected on the test side and saline on the control side.
  • Assessed with POSAS before and six months after surgery.

Key findings

  • The SVF side improved significantly in 11 of 12 POSAS items.
  • Four patients withdrew for personal reasons, leaving 16 for analysis.

Limitations

  • Small sample and only six months of follow-up.
  • Within-patient design may allow cross-over effects.

What this study does not prove

  • This study does not prove SVF is an approved treatment or a replacement for standard care.
  • Limited follow-up cannot indicate long-term outcomes.

Clinical interpretation

The within-patient design controls confounders well, making this relatively strong scar evidence.

Evidence level: Emerging Clinical Evidence

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