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

• Main Authors: Ma. Nina Kristine Sison, Emmanuel Tadeus Cruz, Mark Arjan Fernandez
• Format: Article
• Language: English
• Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2019-12-01
• Series: Philippine Journal of Otolaryngology Head and Neck Surgery
• Subjects: Parry-Romberg syndrome; progressive hemifacial atrophy; autologous transplantation
• Online Access: https://pjohns.pso-hns.org/index.php/pjohns/article/view/875

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