Ensar Zafer Barin1, Hakan Cinal1, Mehmet Akif Cakmak1, Onder Tan2. 1. Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey. 2. Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey drondertan@yahoo.com mdtan@atauni.edu.tr.
Abstract
BACKGROUND: Linear scleroderma, also known as "en coup de sabre," is a subtype of localized scleroderma that warrants aesthetic correction because it appears on the forehead region in children. OBJECTIVE: To report dermal fat grafting as a novel and effective surgical treatment option in linear scleroderma. METHODS: Under local anesthesia, a dermal fat graft was successfully placed into a subcutaneous pocket that was prepared underneath the depressed scar. The donor site was closed primarily. RESULTS: No early or late complications developed postoperatively. After 1-year follow-up, the dermal fat graft was viable, the depressed scar was adequately augmented, and a good aesthetic result and patient satisfaction were obtained. CONCLUSION: We believe that dermal fat grafting is a cost-effective option and provides a long-lasting aesthetic outcome in the management of linear scleroderma.
BACKGROUND:Linear scleroderma, also known as "en coup de sabre," is a subtype of localized scleroderma that warrants aesthetic correction because it appears on the forehead region in children. OBJECTIVE: To report dermal fat grafting as a novel and effective surgical treatment option in linear scleroderma. METHODS: Under local anesthesia, a dermal fat graft was successfully placed into a subcutaneous pocket that was prepared underneath the depressed scar. The donor site was closed primarily. RESULTS: No early or late complications developed postoperatively. After 1-year follow-up, the dermal fat graft was viable, the depressed scar was adequately augmented, and a good aesthetic result and patient satisfaction were obtained. CONCLUSION: We believe that dermal fat grafting is a cost-effective option and provides a long-lasting aesthetic outcome in the management of linear scleroderma.