Romberg’s facial atrophy, also known as Parry-Romberg syndrome, is a rare condition characterized by gradual thinning and loss of tissue on one side of the face. The condition may affect the skin, fat, muscle, and sometimes the underlying bone, leading to noticeable facial asymmetry as the condition progresses. Because the changes often occur slowly over time, careful evaluation is important to understand the extent of tissue involvement and to determine when surgical reconstruction may be appropriate.
At McKinnon Plastic Surgery, surgical treatment for Romberg’s facial atrophy is performed by Dr. McKay McKinnon, a plastic surgeon with extensive experience in complex facial reconstruction. Dr. McKinnon previously served as Clinical Assistant Professor of Surgery at the University of Chicago and has spent decades treating conditions that affect the structure and balance of the face.

What Is Romberg’s Facial Atrophy?
Romberg’s facial atrophy is a progressive condition that causes a gradual loss of tissue on one side of the face. The condition most often begins during childhood or adolescence and may continue to progress for several years before stabilizing.
The tissue loss can involve multiple layers of the face, including:
- Skin
- Fat
- Muscle
- Underlying bone in some cases
Because the condition affects facial symmetry and structure, reconstruction often focuses on restoring lost volume and supporting balanced facial contours.
Common Features Of Romberg’s Facial Atrophy
The severity and progression of Romberg’s facial atrophy can vary from one individual to another. In many cases, the changes develop gradually and may become more noticeable over time.
Common features may include:
- Progressive thinning of tissue on one side of the face
- Facial asymmetry
- Changes in skin texture or pigmentation
- Sunken appearance of the cheek or temple
- Differences in jaw or chin contour
In some individuals, the condition may also be associated with neurological symptoms such as headaches or seizures, which require medical evaluation.
Surgical Treatment For Romberg’s Facial Atrophy
Once the condition has stabilized, surgical reconstruction may be considered to restore facial volume and symmetry. Treatment plans are individualized depending on the areas affected and the degree of tissue loss.
Reconstructive procedures may involve techniques such as fat grafting, soft tissue reconstruction, or other methods designed to restore contour to the affected side of the face.
The goal of surgery is to improve facial balance while maintaining natural movement and expression.
Timing Of Reconstruction
Because Romberg’s facial atrophy can progress over time, reconstructive procedures are typically considered after the active phase of the condition has stabilized. Performing surgery after progression slows helps ensure that reconstruction provides more lasting results.
Evaluation by a craniofacial surgeon allows for careful planning of the appropriate timing and reconstructive approach based on the individual pattern of tissue loss.
Why Choose McKinnon Plastic Surgery For Romberg’s Facial Atrophy Treatment?
Romberg’s facial atrophy requires a reconstructive approach that addresses both structural balance and delicate facial anatomy. Dr. McKay McKinnon has spent decades performing complex facial reconstruction involving soft tissue and skeletal structures of the face.
Following his plastic surgery training at the University of Miami, Dr. McKinnon pursued advanced craniofacial fellowship training in Paris under Dr. Paul Tessier, whose work helped define modern craniofacial surgery. His experience includes treating patients with conditions that cause significant facial asymmetry and tissue loss, where careful planning is necessary to restore facial balance.
Dr. McKinnon personally performs reconstructive procedures with attention to both functional outcomes and natural facial appearance.
Romberg’s Facial Atrophy Treatment In Chicago, IL & Coral Gables, FL
Romberg’s facial atrophy requires specialized evaluation and reconstructive care to address progressive facial asymmetry and tissue loss. Patients in Chicago, IL and Coral Gables, FL seeking expert treatment for Romberg’s facial atrophy can contact McKinnon Plastic Surgery at (312) 335-9566 in Chicago or (305) 753-1400 in Coral Gables to schedule a consultation.

