Facial contour reconstruction in localised lipodystrophy using free radial forearm adipofascial flaps

Unilateral facial contour deformities in two patients with localised lipodystrophies were reconstructed with free radial forearm adipofascial flaps. At follow-up of 5 and 4 years there is no significant downward gravitation, and the flaps have maintained their integrity and bulk. Both the patients have had significant improvement in their self-consciousness of appearance. Since the donor site was closed primarily, a linear forearm scar remains the only donor site morbidity.