Atrophic conditions

Atrophic conditions

Types of Atrophic conditions

Cutis aplasia

Cutis aplasia is a condition where children are born with parts of the body having no skin. The most commonly affected area is the scalp. Rarely, there can be an absence of tissue below the skin – the fat, the and even the lining of the brain in severe cases. 

Assessment and treatment

At the Craniofacial service, we routinely deal with both major and minor forms of cutis aplasia. The team works to ensure that the parents are supported during this concerning time and that the best possible cosmetic result is achieved. Investigations like MRI scans may be required to assess the extent of the disease.

Treatment of cutis aplasia depends on the extent of the affected area. Most cases of cutis aplasia are small and heal on their own. When they heal on their own, sometimes it causes a hairless scar that might need later reconstructive surgery. 

More extensive and deeper forms of cutis aplasia are likely to need more complicated reconstructive surgery. 

Parry-Romberg syndrome

Parry-Romberg syndrome also known as progressive hemifacial atrophy, is a rare disorder characterised by the progressive wasting away of the tissues on one side of the face, leading to asymmetry. The changes normally begin in the middle of the face, like on the cheek or upper lip, before spreading out to the rest of the face. 


Assessing Parry-Romberg Syndrome involves a thorough physical evaluation in addition to MRI or CT scans. This will help us work with you on a tailored management plan. Our craniofacial surgeons will work closely with other specialists to consider treatment options. 


There is no cure for the condition but surgery may be required to improve facial symmetry once signs of the disease stops progressing (usually around puberty or young adulthood). 

Surgical interventions, such as fat grafting or reconstructive surgery, may be recommended to address facial asymmetry and optimise both functional and cosmetic outcomes. We understand the importance of ongoing support, and our team is dedicated to assisting each child to reach their full potential.

Last updated Wednesday 8th May 2024