Expanded median forehead flap and abbé flap for nasal and upper lip reconstruction after complications of polymethylmethacrylate.
Despite the benefits from the minimally invasive technique, complications may occur, raising doubts about the safety of polymethylmethacrylate as an injectable filler material. The authors report their treatment of a patient from another institution with necrosis involving full-thickness nasal skin and upper lip after injection of polymethylmethacrylate in the nasolabial folds and nose for augmentation. An expanded median forehead flap was used to reconstruct the nose, and an Abbé flap was used for the upper lip. The flaps and the skin expander allowed reconstruction with correct texture, color, and dimensions, producing a good aesthetic and functional outcome.
de Figueiredo
Jason César Abrantes
JC
Instituto de Cirurgia Plástica Santa Cruz, Rua Santa Cruz, 398, Sao Paulo, SP, 04122-000, Brazil.
Naufal
Renato Rodrigues
RR
Zampar
Antonio Gustavo
AG
Mélega
José Marcos
JM
D000328:Adult; D001843:Bone Cements / Q000009:adverse effects*; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000187:drug effects* / Q000601:surgery*; D008297:Male; D009336:Necrosis / Q000139:chemically induced / Q000473:pathology / Q000601:surgery; D009666:Nose / Q000187:drug effects / Q000473:pathology / Q000601:surgery; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation
D001843:Bone Cements; D019904:Polymethyl Methacrylate