Fat graft transfer for scalp reconstruction: a promising approach

Objective: The aim of this retrospective study is to explore fat graft transfer as a viable option for reconstructing cutaneous scalp defects. This method was employed on patients with non-melanoma skin cancer of the scalp under local anesthesia. Methods: Fat grafting was performed under local anesthesia in a group of patients with non-melanoma skin cancer of the scalp, aimed at addressing surgical defects. Results: The surgical procedures were uneventful in all cases. The adipose tissue graft remained viable in all patients, and re-epithelization commenced from the edges of the resected area. Conclusions: Fat graft transfer emerges as a promising option for scalp reconstruction due to its ability to deliver both favorable aesthetic and functional outcomes. Notably, patients experienced a swift return to their social and work life within a few days post-surgery. Moreover, this procedure can be safely performed on elderly patients with multiple comorbidities, expanding its applicability and benefits.