METHODS: The aim of surgical treatment is cosmetic amelioration of the defect. Several conventional reconstructive procedures have been used for correcting
facial asymmetry. They include fat
injections, dermal fat grafts, filler
injections, cartilage and bone grafts, and pedicled and
free flaps. We report our experiences with 11 patients involving 11
free flaps with a minimum 1-year follow-up. All patients were classified as having moderate to severe
atrophy. The average age at disease onset was 4.5 years; the average duration of
atrophy was 5.2 years. No patients were operated on with a quiescent interval of less than 1 year. The average age at operation was 20.1 years, ranging from 10 to 55 years. Reconstruction was performed using 4 groin dermofat
free flaps, 4 latissimus dorsi muscle
free flaps, and 3 other
perforator flaps. To achieve the finest symmetrical and aesthetic results, several ancillary procedures were performed in 4 patients. These procedures included Le Fort I leveling
osteotomy, sagittal split ramus osteotomy, reduction malarplasty and angle plasty, rib and calvarial bone graft, correction of
alopecia, and additional fat graft.
RESULTS: All patients were satisfied with the results.
CONCLUSIONS: