Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of their use are rather sparse. Therefore, this is a worthwhile study looking at their effect on fat grafting on mature scars in a group of paediatric burn survivors (n=8). The scars were evaluated by the patient and a blinded independent evaluator at six to 12 months after treatment using the Vancouver Scar Scale. The patients, independent evaluator and senior author failed to identify clear improvement on the fat grafted scars. The limitations of this study include small number of patients, only one fat graft session (multiple sessions may be required to see desired effect) and small volume of fat injection (5ml for 25cm2). The scars being treated in these studies are mature scars that were not scheduled for any other treatment. Hence these may be scars that has achieved rather acceptable outcome from their initial burn treatment. Therefore, there may still be a role of management of burn scars at an earlier stage to prevent scar hypertrophic, to improve scar tethering or to help with painful scars. Further research into this treatment modality is still required.