Treatment of Linear Scleroderma (en Coup de Sabre) With Dermal Fat Grafting

Author:

Barin Ensar Zafer1,Cinal Hakan1,Cakmak Mehmet Akif1,Tan Onder1

Affiliation:

1. Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey

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.

Publisher

SAGE Publications

Subject

Dermatology,Surgery

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