Parry-Romberg Syndrome Augmented by Hyaluronic Acid Filler

Abstract

Parry Romberg Syndrome (PRS), also known as idiopathic progressive hemifacial atrophy, is a rare neurocutaneous disorder characterized by loss of skin and subcutaneous fat of face, muscles, and bones causing unilateral atrophy. Most patients require only soft tissue augmentation although syndrome has varying grades of severity. In the majority of reported cases, it has been treated with surgical flap or autologous fat transplantation. However, these treatments need complicated surgical skills which take a lot of time and cost. Herein we report the first case of PRS augmented by hyaluronic acid (HA) filler in a 42-year-old female patient to suggest that HA filler could be a safe, simple, and even rational economic alternative to surgical treatment.

Keywords: Facial hemiatrophy; Filler; Hyaluronic acid.

Fig. 1. Frontal views of the patient. At first visit, the patient shows overall atrophy of subcutaneous fat and hyperpigmentation on the right face (A). Immediately after injection by fanning technique. Total 7 ml of filler was injected (B). One month after the first filler injection, additional 1.5 ml hyaluronic acid (HA) filler was injected on the chin (C). One year after first injection, additional 3 ml HA filler was injected on the chin (D).

Fig. 2. Lateral views of the patient. At first visit, we planned to inject fillers in the direction of the arrows with fanning technique (A). After subcision with the cannula, total 7 ml of filler was injected via two holes on the cheek and chin (B). One month after the first filler injection (C). One year after first injection (D).