title: Contemporary surgical management of HIV-associated facial lipoatrophy.
abstract: OBJECTIVE
  The purpose of this study is to describe our experience with facial volume restoration in 39 HIV-associated facial lipoatrophy patients, and formulate a treatment algorithm that can be utilized for these patients based on their disease severity.
  
  
  METHODS
  Preoperative and postoperative photographs were evaluated by 2 experienced facial plastic surgeons using grading scales. The reviewers' scores were then compared and the distribution of scores was analyzed.
  
  
  RESULTS
  Thirty-nine patients underwent malar silastic implantation. Seven patients required postoperative adjuvant filler injection. Most patients' results were rated good to excellent. There were 4 late complications.
  
  
  CONCLUSIONS
  HIV-associated facial lipoatrophy is a socially disabling condition that causes noticeable disfigurement and stigmatizes the patient. We demonstrate the importance of combining a reliable grading scale with a strategic treatment algorithm that utilizes multiple modalities for volume restoration.
  
  
  METHODS
  C-4.
authors.affiliation: Bobby R. Alford Department of Otolaryngology/Head and Neck Surgery and Communicative Sciences, Baylor College of Medicine, Houston, Texas 77030, USA. etaif@bcm.tmc.edu
authors.forename: E
authors.initials: E
authors.lastname: Funk
authors.forename: F J
authors.initials: FJ
authors.lastname: Bressler
authors.forename: A E
authors.initials: AE
authors.lastname: Brissett
mesh_terms: D000273:Adipose Tissue / Q000473:pathology*; D000328:Adult; D001284:Atrophy; D001672:Biocompatible Materials; D004129:Dimethylpolysiloxanes; D005145:Face / Q000473:pathology / Q000601:surgery*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D039682:HIV-Associated Lipodystrophy Syndrome / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012828:Silicones; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D004129:Dimethylpolysiloxanes; D012828:Silicones; C013830:baysilon