Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap.
Reconstruction for facial contour deformities is still a challenging process and treatment for most cases is achieved only by soft tissue augmentation. The use of free tissue transfer offers the advantage of one step vascularized soft tissue augmentation. This article summarized the authors' use of de-epithelialized free superficial circumflex iliac artery/superficial inferior epigastric artery flap for facial contour deformities. Of these patients, two had hemifacial microsomia, one depressed scar, and one had hemifacial progressive atrophy. Stable restoration of the facial contour was achieved in all patients. The advantages of this flap are numerous. Two surgical teams may work at the same time for flap harvesting and recipient area preparation. A wide flap may be planned for large contour deformity to achieve one single stage augmentation. Pedicle course of this flap allows primary de-fating without disturbing distal flap circulation when in need of a thin flap for mild contour deformity. Donor site may be closed with bikini (abdominoplasty) incision, which has excellent esthetic outcome compared to other flaps.
Department of Plastic and Reconstructive Surgery, Süleyman Demirel University, School of Medicine, Isparta, Turkey. nasirs@ccf.org
Serdar
S
Nasir
Mustafa Asim
MA
Aydin
Selman
S
Altuntaş
Erhan
E
Sönmez
Tunç
T
Safak
D000328:Adult; D002648:Child; D019074:Epigastric Arteries / Q000601:surgery; D005145:Face / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D005146:Facial Asymmetry / Q000601:surgery; D005150:Facial Hemiatrophy / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017568:Rectus Abdominis / Q000098:blood supply / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome