Linear-scleroderma, sometimes known as “en coup de sabre (ECDS),” is a condition that manifests mainly in the face. The consequences of epidermal abnormalities are prevalent, despite the efficacy of pharmacological therapies in treating lesions. Examine the surgical methods now available for “en coup de sabre” ECDS lesion removal and facial deformity repair. The authors searched PubMed, Scopus, and the Cochrane Library for previous studies that reported the results of surgical procedures for ECDS deformations. There were 26 articles totaling 39 patients. There were 25 ± 4.7 standard deviations in the age distribution, with the mean age of the patient. There were 31 female patients in total. Around 6 surgical techniques for ECDS repair were identified in the research, and 41% of patients underwent fat grafting, 18% underwent surgical reconstruction, 15% received injectable fillers, 10% received implants, 8% received botulinum toxin injections, and 8% received bone or cartilage grafts. Approximately 1/3 of patients had imaging investigations of the head and face done. Around 64% of them had skeletal abnormalities. Clinicians’ toolkits contain a variety of surgical and minimally invasive techniques for addressing ECDS malformations. Adapting the treatment plan to the individual patient is essential for achieving the best possible results.