Successful correction of depressed scars of the forehead secondary to trauma and morphea en coup de sabre by en bloc autologous dermal fat graft.
BACKGROUND
Atrophic scars of the forehead can result from various pathologic processes including morphea en coup de sabre as well as trauma. A variety of surgical techniques can be used to correct these atrophic scars.


OBJECTIVE
Soft tissue augmentation for correction of atrophic scars of the forehead using en bloc autologous dermal fat graft.


METHODS
Use of en bloc autologous dermal fat graft harvested from the hip and inserted into a pocket created under the atrophic scar in two patients with depressed scars of the forehead.


RESULTS
Overcorrection of the scars with en bloc autologous dermal fat grafts resulted in the treated areas becoming level with the adjacent skin within 3 months. Follow-up for a period of 12 months showed a perfectly level and stable graft with no further resorption.


CONCLUSIONS
En bloc autologous dermal fat grafting appears to be a safe technique that provides excellent cosmetic results for the correction of small to medium depressed scars of the forehead.
Department of Dermatology, Northwestern University Medical School, Chicago, IL 60611-2923, USA. j-lapiere@nwu.edu
J C
JC
Lapiere
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Aasi
B
B
Cook
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Montalvo
D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D005546:Forehead / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012594:Scleroderma, Localized / Q000601:surgery*; D016378:Tissue Transplantation