Abstract: Managing Degloving Injuries of the Upper Extremity: Buried Treasure

MATERIALS AND METHODS: 33 years,W, 49kg,BMI < 17, sportive and very thin, was refered with rippling at both of breast at superiolateral side. Silicone implants were inserted to subglandular plane 20 months ago. It was decided to use autologous ADSC and PRP added fat graft. Rippling areas were marked with skin marker. Then fat graft was harvested and applied subcutaneously thorough minimal incision with cury canule to the marked areas, 4cc for areas at both breast. 50cc fat tissue was used to obtain ADSC. Lipofilled areas were marked at transparencies(transpaternt paper).After surgery,prepared autologous PRP and ADSC are applied to the same areas with transparencies assintance. 2 plastic surgeons assessed patient for rippling deformity changes in postoperative 1st week, 1st and 3rd month with a scale that evaluates the lumpiness, appearance, naturality of the result.