Autologous Fat Grafting for Localized Scleroderma: Is It Available in Taiwan? - Plastic Surgery

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Localized scleroderma autologous fat grafting


Hello Doctor, I have localized scleroderma lesions on my face, which have caused atrophy in my left forehead and left nasal wing.
I have looked into current overseas treatment methods, including autologous fat grafting, and have found many successful cases.
I would like to know if this treatment is accepted in Taiwan and whether fat grafting can be performed on the nasal wing, as there are varying opinions online.
Thank you.

Zhuang Peisheng, 10~19 year old female. Ask Date: 2023/05/31

Dr. Lu Daokuan reply Plastic Surgery


You are a 17-year-old male.
Generally speaking, unless you are significantly overweight, there may be issues with the source of fat for autologous fat grafting.
You can personally consult with a physician experienced in autologous fat transfer to discuss your treatment plan.

Reply Date: 2023/05/31

More Info


Autologous fat grafting, also known as lipofilling or fat transfer, is a cosmetic and reconstructive procedure that involves harvesting fat from one part of the body and injecting it into another area to restore volume and improve contour. This technique has gained popularity in various fields, including aesthetic surgery, reconstructive surgery, and treatment for certain medical conditions such as localized scleroderma.

Localized scleroderma, or morphea, is a condition characterized by the hardening and tightening of the skin and connective tissues. It can lead to significant cosmetic deformities, particularly in areas like the face, where it may cause atrophy or shrinkage of the skin. Autologous fat grafting has been explored as a treatment option for localized scleroderma due to its potential to restore volume and improve the appearance of affected areas.

In Taiwan, the availability of autologous fat grafting for localized scleroderma may vary depending on the specific medical facilities and the expertise of the practitioners. Many plastic surgeons and dermatologists in Taiwan are trained in fat grafting techniques, and some may offer this procedure as a treatment option for patients with localized scleroderma. However, it is essential to consult with a qualified healthcare provider who specializes in dermatology or plastic surgery to determine if this treatment is suitable for your specific condition.

Regarding the specific areas you mentioned, such as the left forehead and left nasal wing, these regions can typically be treated with fat grafting. The procedure involves careful harvesting of fat, usually from areas like the abdomen or thighs, followed by purification and injection into the desired areas. The goal is to restore volume and improve the contour of the face, which can be particularly beneficial for patients with atrophy due to localized scleroderma.

It is important to note that while autologous fat grafting has shown promising results in various studies and clinical cases, individual outcomes can vary. Factors such as the patient's overall health, the extent of the scleroderma, and the technique used by the surgeon can all influence the results. Additionally, there may be some risks associated with the procedure, including infection, uneven results, or the possibility of fat resorption over time.

Before proceeding with autologous fat grafting, it is crucial to have a thorough consultation with a healthcare provider who can assess your condition, discuss the potential benefits and risks, and determine the most appropriate treatment plan for you. They may also provide information on the expected recovery process and any necessary follow-up care.

In summary, autologous fat grafting is a potential treatment option for localized scleroderma in Taiwan, and it can be performed on areas such as the forehead and nasal wing. However, it is essential to consult with a qualified specialist to evaluate your specific situation and determine the best course of action.

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