Treatment of Linear Scleroderma (en Coup de Sabre) With Dermal Fat Grafting

Background: Linear scleroderma, also known as “ en coup de sabre,” is a subtype of localized scleroderma that warrants aesthetic correction because it appears on the forehead region in children. Objective: To report dermal fat grafting as a novel and effective surgical treatment option in linear scleroderma. Methods: Under local anesthesia, a dermal fat graft was successfully placed into a subcutaneous pocket that was prepared underneath the depressed scar. The donor site was closed primarily. Results: No early or late complications developed postoperatively. After 1-year follow-up, the dermal fat graft was viable, the depressed scar was adequately augmented, and a good aesthetic result and patient satisfaction were obtained. Conclusion: We believe that dermal fat grafting is a cost-effective option and provides a long-lasting aesthetic outcome in the management of linear scleroderma.