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Figure 1. Improvement in perioral skin fibrosis following fat grafting. (A) (B) Preoperative photographs of a 52-year-old woman with facial manifestations of scleroderma, including perioral skin tightening and deficient lip contour. (C) (D) Postoperative photographs at 2 months follow up after 1 round of autologous fat grafting to the upper lip (4.5 cc) and lower lip (5 cc). Patient demonstrated improvements in lip contour and volume and decreased perioral rhytids.