title: Facial contour reconstruction in lipodystrophy using a double paddle dermis-fat radial forearm free flap.
abstract: Facial lipodystrophy is a relatively rare disease and very little has been reported concerning the reconstruction of this facial deformity compared with Romberg's disease. In this article we report a new surgical procedure using a double paddle radial forearm dermis--fat free flap. By using this unique flap, we could reconstruct soft tissue defects on both cheeks in a one-stage operation using one flap. In the previous conventional procedure, two flaps are required for the reconstruction of bilateral defects on the face. Therefore, we also made a comparison between our flap and the conventional flap with regard to their advantages and disadvantages. Although this is a limited experience, we think using this flap is a preferable method of treating facial lipodystrophy.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Tsukuba, Ibaraki, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Endo
authors.forename: Y
authors.initials: Y
authors.lastname: Nakayama
authors.forename: E
authors.initials: E
authors.lastname: Matsuura
authors.forename: H
authors.initials: H
authors.lastname: Natsui
authors.forename: S
authors.initials: S
authors.lastname: Soeda
mesh_terms: D000328:Adult; D002610:Cheek / Q000601:surgery*; D005260:Female; D006801:Humans; D008060:Lipodystrophy / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000379:methods*