title: Treatment of Linear Scleroderma (en Coup de Sabre) With Dermal Fat Grafting.
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.
  
  
  CONCLUSIONS
  We believe that dermal fat grafting is a cost-effective option and provides a long-lasting aesthetic outcome in the management of linear scleroderma.
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey.
authors.forename: Ensar Zafer
authors.initials: EZ
authors.lastname: Barin
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Cinal
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey.
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Cakmak
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Erzurum, Turkey drondertan@yahoo.com mdtan@atauni.edu.tr.
authors.forename: Onder
authors.initials: O
authors.lastname: Tan
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D005260:Female; D005546:Forehead; D006801:Humans; D012594:Scleroderma, Localized / Q000601:surgery*
keywords: dermal fat; en coup de sabre; graft; linear scleroderma