Volume 33, Number 3, 452-456, DOI: 10.1007/s00266-008-9287-7

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Minimally Invasive Combined Treatment for Parry-Romberg Syndrome

Maria Giuseppina Onesti, Cristiano Monarca, Maria Ida Rizzo, Marco Mazzocchi and Nicolò Scuderi

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Abstract

Background  

Facial hemiatrophy, a typical manifestation of Parry-Romberg syndrome, produces massive face asymmetry, causing marked aesthetic damage and severe psychological discomfort, with repercussions to the psychophysical status of the patient. This article presents a successful combined treatment that results in resolution of symptoms and patient satisfaction.

Methods  

The authors proposed a clinic-therapeutic management comprising a customized program of bio-lipo-intense pulsed light (IPL) remodeling.

Results  

In 2007, at a 1-year follow-up visit, the patient presented a stable result. She is satisfied with the augmentation treatment, the new volume and contours of the face, and the resolution of the sclerosis and ochrodermia.

Conclusion  

The authors have succeeded with a minimally invasive reconstructive technique for Romberg disease using a customized therapeutic program of poly-L-lactic acid, lipofilling, and IPL therapy. They report a case of good healing without recurrences and complications, with a good cosmetic result, and with satisfaction of the patient.

Keywords  Intense pulsed light - Lipofilling - Minimally invasive combined treatment - Parry-Romberg syndrome - Poly-L-lactic acid

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