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Treatment of Steroid Induced Lipoatrophy with Structural Fat Grafting

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DOI: 10.4236/mps.2012.21002    8,270 Downloads   14,608 Views   Citations

ABSTRACT

Background: Systemic corticosteroid injections are used to treat a variety of medical conditions. Inaccurate placement of intramuscular injections of corticosteroid can result in local lipoatrophy, and a resultant cosmetic deformity. Objective: Describe the condition, and a simple, reproducible method of correcting the volume deficiency and skin changes associated with steroid induced lipoatrophy Methods: A retrospective chart review was undertaken of all patients treated by the author for steroid induced lipoatrophy between June of 2005 and March of 2011. Results: Structural fat grafting was used to treat 11 patients with steroid induced lipoatrophy during this time period. 10 patients were female and one was male. 9 of the patients had atrophy of the buttock or hip, and 2 had atrophy of the upper extremity. All patients had satisfactory correction of their deformities, and only one of the patients required a second grafting session to achieve an adequate volume for complete correction. Conclusions: Structural fat grafting can eliminate the volume deficiency and skin changes associated with steroid induced lipoatrophy. It is a straightforward, well tolerated method for correcting a problem which can be quite cosmetically deforming.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

R. Stokes, "Treatment of Steroid Induced Lipoatrophy with Structural Fat Grafting," Modern Plastic Surgery, Vol. 2 No. 1, 2012, pp. 5-7. doi: 10.4236/mps.2012.21002.

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