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Improvement in skin fibrosis follow facial fat grafting. A, Preoperative photograph of a 60-year-old woman with classic facial manifestations of scleroderma, including skin tightening and hardening, perioral rhytids, and malar volume depletion. B, Postoperative photograph 2 months after the second round of autologous fat grafting of 7 ml into the lips, 18 ml into the malar region, and 10 ml into the marionette lines, resulting in improvement in lip contour and malar volume.
