Autologous Fat Transfer to Improve Aesthetic Appearance in Facial Asymmetry from Parry-Romberg Syndrome: A Case Report

  • Ma. Nina Kristine C. Sison Department of Otorhinolaryngology Head and Neck Surgery Quezon City General Hospital https://orcid.org/0000-0003-0583-674X
  • Emmanuel Tadeus S. Cruz Department of Otorhinolaryngology Head and Neck Surgery Quezon City General Hospital
  • Mark Arjan R. Fernandez Department of Otorhinolaryngology Head and Neck Surgery Quezon City General Hospital
Keywords: Parry-Romberg syndrome, progressive hemifacial atrophy, autologous transplantation

Abstract

Objective: To present a case of progressive hemifacial atrophy in a young woman with Parry-Romberg Syndrome and the role of autologous fat transfer to improve her aesthetic appearance and lessen facial asymmetry.

Methods:

Design:           Case Report

Setting:           Tertiary Government Training Hospital

Patient:           One

Results: A 20-year old woman consulted because of drooping of the right eyelid and gradual thinning of right cheek muscles since age 16.  On examination, the right facial muscles were hypoplastic with prominent facial bony ridges. An MRI scan showed atrophy of the right medial pterygoid and masseter. She underwent autologous fat transfer on the right side of the face to augment the cheek, improve cosmetic appearance and lessen facial asymmetry.  

Conclusion: Our patient is satisfied and happy with the outcome and cosmetic appearance of her autologous fat transfer and is ready to undergo the same procedure if the need arises in the future. Although no definite cure exists for Parry Romberg syndrome, our report illustrates the role of autologous fat transfer as an inexpensive, easily harvested and biocompatible material to improve facial asymmetry. The procedure yielded encouraging results, although long-term benefits remain uncertain.

 

Keywords: Parry-Romberg syndrome; progressive hemifacial atrophy; autologous transplantation

 

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Author Biographies

Emmanuel Tadeus S. Cruz, Department of Otorhinolaryngology Head and Neck Surgery Quezon City General Hospital

Training Officer, Quezon City General Hospital

Mark Arjan R. Fernandez, Department of Otorhinolaryngology Head and Neck Surgery Quezon City General Hospital

Maxillofacial and Plastics Consultant, Quezon City General Hospital

Published
2019-12-02
How to Cite
1.
Sison MNK, Cruz ET, Fernandez MA. Autologous Fat Transfer to Improve Aesthetic Appearance in Facial Asymmetry from Parry-Romberg Syndrome: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019Dec.2 [cited 2019Dec.10];34(2):47-1. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/875