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Innovations
2023
:3;
75
doi:
10.25259/CSDM_170_2022

Difficulty in doing laser over lipoatrophy of cheek – A simple solution

Department of Dermatology, Apollo Multispeciality Hospital, Kolkata, West Bengal, India
Corresponding author: Surajit Gorai, Department of Dermatology, Apollo Multispeciality Hospital, Kolkata, West Bengal, India. drsurajit@drgorai.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Gorai S. Difficulty in doing laser over lipoatrophy of cheek – A simple solution. CosmoDerma 2023;3:75.

PROBLEM

Cheek lipoatrophy, most commonly known with human immunodeficiency virus, also might happen with genetic predisposition at an early age.[1] In such patient, it is tough to perform CO2 or other types of resurfacing laser as we cannot stretch the concave skin to deliver the energy at scar surface [Figure 1a].

(a) Right cheek showing lipoatrophic concave area with acne scar and (b) Right cheek showing convex surface with a gauge piece between the cheek and the teeth.
Figure 1:
(a) Right cheek showing lipoatrophic concave area with acne scar and (b) Right cheek showing convex surface with a gauge piece between the cheek and the teeth.

SOLUTION

A simple modification of putting a rolled gauge piece between the cheek from inside and the teeth will make the outer surface convex and make it very easy to deliver the laser energy [Figure 1b].

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Financial support and sponsorship

Nil.

References

  1. , , , , , , et al. Full scope of effect of facial lipoatrophy: A framework of disease understanding. Dermatol Surg. 2006;32:1058-69.
    [CrossRef] [PubMed] [Google Scholar]

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