Experience with Lipofilling in Children with Localized Scleroderma: Case Study

Abstract

Background. Localized scleroderma (LS) is an inflammatory sclerosing disease of unknown etiology. It is characterized by progressive lesion of connective tissue leading to sclerosis and/or atrophy of the skin and underlying tissues. The LS prevalence is 27 cases per 1 million per year, and 3.4 cases occur in children. Clinical case description. This article presents two clinical cases of LS in children under the age of 12 years. Contour plastic surgery with adipose tissue (lipofilling) was performed in both cases. It was possible to achieve volume correction via lipoaspirate, to increase derma and subcutaneous fat thickness in sclerosis focus, to reduce skin tightness, and to improve microcirculation during the treatment. Conclusion. Surgical management of children with lipofilling allows to eliminate gross facial defects, to increase the subcutaneous fat layer in sclerosis foci. Moreover, these patients report an improvement in psycho-emotional state after autotransplantation of adipose tissue.