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Difficulty in doing laser over lipoatrophy of cheek – A simple solution
*Corresponding author: Surajit Gorai, Department of Dermatology, Apollo Multispeciality Hospital, Kolkata, West Bengal, India. drsurajit@drgorai.com
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Received: ,
Accepted: ,
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.
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
- Full scope of effect of facial lipoatrophy: A framework of disease understanding. Dermatol Surg. 2006;32:1058-69.
- [CrossRef] [PubMed] [Google Scholar]
