Facial contour reconstruction with free flaps.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Facial Anatomy

Background:

• Facial soft tissue augmentation is often necessary for conditions including Romberg's disease, lateral facial dysplasia, lipodystrophy, and post-tumor resection defects.
• Achieving satisfactory and natural-looking results can be challenging in these reconstructive scenarios.

Purpose of the Study:

• To evaluate the efficacy of the buried deepithelialized free groin flap for facial soft tissue augmentation.
• To present technical refinements that enhance flap survival and contour correction accuracy.

Main Methods:

• Utilized a buried deepithelialized free groin flap for facial reconstruction.
• Implemented technical refinements including defect analysis, pre-revascularization contouring, eyelid over-correction, and submandibular incision for exposure.

Main Results:

• The described technical refinements ensured successful flap survival.
• The procedure provided sophisticated contour correction, meeting patient desires for soft, natural reconstruction.
• Patients with Romberg's disease demonstrated sustained reconstruction bulk.

Conclusions:

• The buried deepithelialized free groin flap is a reliable and effective method for facial soft tissue augmentation.
• Technical advancements significantly improve outcomes in terms of flap viability and aesthetic results.
• This technique offers a satisfactory solution for complex facial defects, particularly in Romberg's disease.