Reconstruction of facial contour represents a real surgical challenge. Several free flaps have been proposed for these defects: fasciocutaneous free flaps such as groin, deltopectoral, anterolateral thigh, or parascapular and deep inferior epigastric. The authors report their experience with the superficial inferior epigastric artery (SIEA) adiposal flap in two cases of facial contour reconstruction. This technique presents several advantages. In particular, harvest of this flap provides a plenty of fatty tissue and reduced donor site morbidity, with optimal aesthetic results both in the face and at the donor site. For these reasons, the SIEA flap can be considered as the first option for facial contour reconstruction.
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http://dx.doi.org/10.1016/j.jcms.2008.12.007 | DOI Listing |
Aesthetic Plast Surg
January 2025
Medical Research Inc., Wonju, Korea.
The pursuit of aesthetically pleasing shoulder contours, particularly those characterised by a sharp, angular definition, has gained significant traction in Southeast Asia. Traditionally, neuromodulators have been used to achieve these results by inducing muscle atrophy, particularly in the trapezius muscles. However, this approach can carry potential risks, such as compromised muscle function and spinal instability.
View Article and Find Full Text PDFJ Voice
January 2025
Universidade Federal de São Paulo - UNIFESP, 04023-062, São Paulo, São Paulo State, Brazil. Electronic address:
Background: The neck, and specifically the prominence of the thyroid cartilage, can be considered a marker of male gender, which is often unwanted by transgender women. Chondrolaryngoplasty is traditionally performed using an open transcervical approach, which, while effective, leaves visible scars that can compromise patient satisfaction. Recent advancements, such as the transoral endoscopic vestibular approach (TOEVA), have emerged as promising alternatives, eliminating external scars and improving esthetic outcomes.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Background: Facial sunken deformities, congenital or acquired, are common in clinical practice for the reduction of soft or hard tissues. In clinical practice, filler injection and tissue transplantation are often used to improve facial contour. Among these, autologous fat grafting for treating facial contour defects is most common in clinical practice.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Department of Physical Functions, Division of Oral and Maxillofacial Surgery, Kyushu Dental University.
In cases where oral cancer spreads toward the maxillary tubercle, surgery may extend to the pterygopalatine fossa. There are 2 main extraoral approaches: anterior and lateral. Previously, we introduced a modified lateral approach with a mouth corner incision from the lower lip, that preserves the mental and marginal mandibular nerves.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Plastic Reconstructive and Aesthetic Surgery Clinic, Ankara, Turkey.
The aim of this study is to investigate the use of the temporoparietal fascial flap (TPFF) in the repair of tissue defects in the head and neck region. TPFF is a preferred method among surgeons due to its thin and flexible structure and its strong vascular structure supplied by the superficial temporal artery. In the study, the operations performed on a total of 21 patients and the results of these operations were analyzed.
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