title: Facial contour reconstruction with free flaps.
abstract: Augmentation of facial soft tissues is frequently required in Romberg's disease, lateral facial dysplasia, lipodystrophy, and following tumor resections. The buried deepithelialized free groin flap provides a satisfactory solution to this problem. Technical refinements have ensured the survival of the flap and the sophistication of the contour correction. These refinements are a careful analysis of the defect, appropriate contouring prior to revascularization of the flap, slight over-correction of the eyelid defect, and a submandibular incision for improved exposure. The groin flap provides the soft, natural reconstruction desired by the patient. All patients with Romberg's disease maintained the bulk of their reconstructions.
mesh_terms: D000328:Adult; D005145:Face / Q000601:surgery*; D005260:Female; D006119:Groin; D006801:Humans; D008297:Male; D011300:Preoperative Care; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps