Resumo

LOTT-CALDEIRA, Alberto-Magno; ROBLES-MEJIA, Martin-Bienvenido  e  MARROU-PAUTRAT, Walter. Autologous fat transfer in localized and multicentric scleroderma. Cir. plást. iberolatinoam. [online]. 2016, vol.42, n.3, pp.285-292. ISSN 1989-2055.

Scleroderma is a multisystem autoimmune disease characterized by chronic inflammation of connective tissue. Trying to find the ideal solution for best results with less invasive surgical technique approache, we propose the use of autologous fat grafting. A patient with scleroderma, type diffuse, multicentric, committing extensive and severe face and several body segments, with multiple plate (morphea) and (coup sable) injuries, specifically on the face, breasts and abdomen, is presented. We formulate their surgical treatment plan based on the possibilities of remodeling and facial and body restructuring with the transfer of fatty tissue in 4 surgical times, performed along 8 years. Fat transfer is presented as a fundamental therapeutic in reversing the anatomical and clinical alterations of scleroderma.

Palavras-chave : Scleroderma; Fat tissue; Fat transfer; Lipofilling.

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