Anterolateral thigh adipofascial flap for correction of facial contour deformities and micromastia.
The anterolateral thigh (ALT) flap has gained popularity, yet the donor site remains problematic. With increased knowledge of the vascular anatomy, we anticipated that we would be able to contour the ALT adipofascial flap when reconstructing facial deformities and micromastia without sacrificing skin at the donor site. A total of 24 cases of hemifacial atrophy and 1 case of micromastia underwent anterolateral thigh adipofascial flap transplantation with vascular anastomosis. All surgical reconstructions resulted in satisfactory results with minimal donor-site morbidity. The anterolateral thigh adipofascial perforator flap is an ideal choice for autologous tissue reconstruction with primary defatting.
Zhang
Qixu
Q
Plastic Surgery Hospital, Peking Union Medical College, Beijing, China. lukeqixu@yahoo.com
Qiao
Qun
Q
Zhou
Gang
G
Robb
Geoffrey L
GL
D000273:Adipose Tissue / Q000637:transplantation; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D004954:Esthetics; D005145:Face / Q000002:abnormalities / Q000601:surgery*; D005150:Facial Hemiatrophy / Q000601:surgery; D005205:Fascia / Q000637:transplantation; D005260:Female; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008297:Male; D016462:Mammaplasty / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D013848:Thigh / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult