Fig. 19 Hemifacial atrophy (Parry-Romberg syndrome). A. Arrows outline depression of forehead due to loss of subcutaneous tissue; atrophy also extends to left cheek. Note loss of eyebrow hair and lashes from left upper lid. B. Spontaneous scalp creasing extending to forehead and upper brow (scleroderma en coupe de sabre). Lateral eyebrow is absent and lid lashes are false. Note slight left enophthalmos.