Will implants and BBL fat grafting help with reconstruction and acheiving symmetry after linear scleroderma? (photo)

Question

Linear scleroderma left me with significant asymmetry/atrophy down my left buttock, thigh, calf and reduced fat on my foot. What would the best way to restore volume be? I am considering a BBL and possibly calf implants. Was wondering if anyone has dealt with this in the past? Is it possible to have fat grafts/implants to my thigh to restore volume there? My scarring is not circumferential primarily affecting the inner aspect of my leg only.

Damien Grinsell, MBBS, FRACS (Plast) · Answer

Hi. It would be possible to see an improvement with fat grafting however it will take multiple sessions and the end result wont be perfect. i personally would avoid implants. CheersDamien

Erika Sato, MD, FACS · Answer

You have a difficult problem to fix and honestly will not achieve symmetry even with multiple surgeries. You likely need a combination of liposuction to the right side to make that leg slimmer all the way down and fat transfer to the left leg. Scar tissue on the left leg will limit the take of fat and also the ability to stretch the left side. You will likely need multiple fat transfers also.

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