Title: Microdermal grafting for white scar

Su-Ben Tsao

Taiwan Society of Aesthetic Plastic Surgery, Taiwan


Su-Ben Tsao is Founding Director of Asian Plastic Craniofacial Association. Founding and Active Member of Oriental Society of Aesthetic Plastic Surgery. (OSAPS), Active Member of International Society of Aesthetic Plastic Surgery. (ISAPS), International Member of American Society of Plastic Surgeons. (ASPS), International Corresponding Participant of American Society of Aesthetic Plastic Surgery. (ASAPS), Founding and Director of Taiwan Society of Aesthetic Plastic Surgery.(TSAPS), Director of Taiwan Society of Plastic Surgery(TSPS), Founder and President, Southern Taiwan Aesthetic Medicine Forum. He was the best resident doctor during 1983-1984, and 1984-1985, Chang Gung Memorial Hospital at Taipei, Taiwan. First and second President of Physician’s Association of Chang Gung Memorial Hospital at Kaohsiung during 1997-2001. He was the Founder of Kaohsiung Cleft Palate and Craniofacial Association in 1994. He is also Founder and President of Kaohsiung Aesthetic Medical Tourism Promotion Association, since 2008. He is Municipal advisor of Kaohsiung City Government & Presbyter of Presbyterian Church.


White Scar is the final and permanent color of mature scar, it usually expresses and reminds people of some unpleasant past or private life experiences, such as suicide or cosmetic surgery.  Therefore, many patients come and ask for taking off their white scars. The white mark cannot be removed by current medical treatments, including laser, scar revision or phototherapy.  Medical tattooing can camouflage it, but hardly can create the same color as surrounding normal skin.  Microdermal grafting, thereafter, become the terminator of white scar treatment.

The purpose of microdermal grafting is to change the white scar color to normal skin color.  It is made through the grafting of 1~2mm sized particles of patient’s own skin, after deepithelialization, onto the white scar, at its deep dermal layer after punctured by 18 Gauze needle, and was grafted with 1~2mm punctured hole interval .  The donor site is from patient’s retroauricular skin. The surgery has been done in our clinic for more than 18 years, this paper is the retrospective study of the treatment.  38 cases were enrolled in the study, which were all treated within the recent 3 years.  Among them, 30 cases were females and 8 cases were males.  The average patient age was 34 years old.  85% of the patients’ white scars were on the faces, the others were on the bodies.  Their major locations include : lips, cheeks, foreheads, eyelids, necks and forearms.  80% cases received one session treatment.  16% received two sessions treatment with 3 months interval, and 4% received three sessions treatment. Of the 38 patients, 27(71%) completed a questionnaire at one year postoperatively, to assess their improvement with the procedure.  The average improvement rates, from patient’s subjective site are : 55% for one session treatment, 88% for two session treatment, and 95% for three treatment.  Whereas from 3 layman’s average objective site are : 49% for 1 session, 75% for 2 sessions, and 90% for 3 sessions.  There is no any treatment complication noted, neither from donor nor recipient site.