Minimally invasive combined treatment for Parry-Romberg syndrome

Aesthetic Plast Surg. 2009 May;33(3):452-6. doi: 10.1007/s00266-008-9287-7. Epub 2008 Dec 18.

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.

Publication types

  • Case Reports

MeSH terms

  • Combined Modality Therapy
  • Disease Progression
  • Facial Hemiatrophy / surgery*
  • Facial Hemiatrophy / therapy
  • Female
  • Freeze Drying
  • Humans
  • Injections, Intradermal
  • Lactic Acid / administration & dosage
  • Lactic Acid / therapeutic use
  • Laser Therapy* / methods
  • Membranes, Artificial
  • Minimally Invasive Surgical Procedures
  • Polyesters
  • Polymers / administration & dosage
  • Polymers / therapeutic use
  • Skin / pathology
  • Subcutaneous Fat / transplantation
  • Young Adult

Substances

  • Membranes, Artificial
  • Polyesters
  • Polymers
  • Lactic Acid
  • poly(lactide)