Use of autologous fat graft for correction of facial asymmetry stemming from Parry-Romberg syndrome

• Published in: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2010-02, Vol.109 (2), p.e20-e25
• Main Authors: Avelar, Rafael Linard, MSc, Göelzer, Juliana Gonçalves, MSc, Azambuja, Fabiano Goulart, MSc, de Oliveira, Rogério Belle, PhD, de Oliveira, Milton Paulo, MD, Pase, Pablo Fagundes, MD
• Format: Article
• Language: English
• Subjects: Adipose Tissue - transplantation; Adult; Dentistry; Facial Asymmetry - etiology; Facial Asymmetry - surgery; Facial Hemiatrophy - complications; Facial Hemiatrophy - surgery; Female; Humans; Injections, Subcutaneous; Surgery
• ISSN: 1079-2104; 1528-395X
• DOI: 10.1016/j.tripleo.2009.09.017

Facial hemiatrophy is a typical manifestation of Parry-Romberg syndrome, characterized by a slow progressive atrophy that appears in early stages of life, primarily affecting the subcutaneous tissue and subjacent fat on 1 side of the face. We describe the case of a 42-year-old female patient with stabilized moderate facial hemiatrophy on the left side of the face, successfully treated with a 2-stage autologous fat transplant and the use of subcutaneous tunnels among the musculature for the placement of the graft. We also describe the principal forms of correcting facial asymmetry in patients with Parry-Romberg syndrome and demonstrate that an autologous fat graft provides good results in the correction of this deformity, with improved esthetics and patient satisfaction.