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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(04): 527-530
DOI: 10.1055/s-0042-1751024
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy

Authors

  • Natthapong Kongkunnavat 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

  • Jirapat Prathyajuta 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

  • Warangkana Tonaree 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Abstract

Lupus panniculitis (LP) often presents with tender nodules and intermittent ulcers that then heal with scarring and lipoatrophy. The current mainstay of treatment is medical treatment. Research regarding the treatment of lipoatrophy from LP with autologous fat grafting is limited. We would like to share our experience in this rare case, which was treated with autologous fat transfer. A 48-year-old female presented with erythematous plaque, tender nodules, and ulcers following by a depression of the lesion at the left temporal area. The patient also had indurated erythematous plaque at her left cheek. Both lesions were aggravated by sunlight exposure. After several investigations, she was diagnosed as LP with secondary lipoatrophy and tumid lupus erythematosus at her left temporal and left cheek, respectively. She received antimalarial drug and topical steroids. The patient underwent two sessions of autologous fat transfer. She was satisfied with the volume and contour improvement in the scar following the injection of 8 and 3.7 mL of fat. Furthermore, the patient reported the remission of tender nodules and ulcers since the first fat graft injection. In conclusion, the autologous fat transfer is a simple and effective treatment for lipoatrophy and scar secondary to LP with promising results.

Keywords

lipoatrophy - lupus panniculitis - fat grafting - autologous fat transfer

Author Contributions

Conceptualization: W.T. and N.K. Data curation: W.T., N.K., and J.P. Visualization: W.T. and N.K. Writing-original draft: W.T, N.K., and J.P. Writing-review & editing: W.T. and N.K. All authors read and approved the final manuscript.


Ethical Approval

The study was performed in accordance with the principles of the Declaration of Helsinki.


Patient Consent

Written informed consent for patient information and images to be published was obtained from the patient reported in the manuscript.




Publication History

Article published online:
30 July 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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