Summary
Facial hemi atrophy is seen after trauma, Parry-Romberg syndrome and on other rare
occasions. Since the aesthetic deficit is very obvious and irritating, facial reconstruction
is often requested by these patients. In most cases the only option for sufficient
reconstruction is free flap reconstruction, which represents the standard treatment.
Recently in plastic surgery, various new techniques have been developed with the potential
for multiple applications. Lipofilling has been presented primarily for the correction
of cosmetic lesions or the reconstruction of minor soft tissue defects, but even reconstruction
of larger soft tissue deficits is possible. The concept of using 3-D technology in
facial reconstruction has multiple advantages. Primarily, the ideal final aesthetic
outcome can be simulated by virtual reconstruction. Mathematic calculations deliver
exact numbers in volume deficits, enabling precise planning of soft tissue substitution
especially in lipofilling, ideally avoiding unnecessary corrections. Since autologous
soft tissue reconstruction represents a dynamic process with periods of swelling as
well as atrophy, quality control is required for achieving optimal results. Use of
3-D scanning has the advantage of reliable visualisation in soft tissue reconstruction
without the limitations of harmful side effects.
We present the history of a female suffering from the posttraumatic consequences of
head injuries related to a car accident and the successful correction of her hemi
facial atrophy by autologous lipofilling. Technical details and the potential of 3-D
scanning in plastic surgery are discussed.
Keywords
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Article info
Publication history
Published online: March 19, 2007
Accepted:
January 30,
2007
Received:
December 5,
2005
Footnotes
☆Part of this work was presented at the Annual Meeting of the German Association of Plastic Surgeons (VDPC) in Munich, Germany, held between September 28th and October 1st, 2005.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
