Multi-stages Aesthetic Refinement Following Anterolateral Thigh Free Flap for Head and Neck Reconstruction
Open Access
- 12 May 2020
- journal article
- Published by Jurnal Plastik Rekonstruksi in Jurnal Plastik Rekonstruksi
- Vol. 7 (1), 38-42
- https://doi.org/10.14228/jpr.v7i1.298
Abstract
Introduction: Multi-stages refinement of a bulky flap after composite defects reconstruction of multiple facial units has been a challenging situation. Goals including restoration of periorbital and malar area and redefining the aesthetic aspects of the units as well as the surrounding nasolabial area with multiple refinements and microfat graft. Methods: A 50-year-old male patient with a history of solitary fibrous tumor underwent wide excision of left periorbital, infraorbital, lateral nasal sidewall, and malar area. The defect is enclosed with Anterolateral Thigh Free Flap (ALT). Bulkiness of the flap, sunken left nasolabial, and asymmetric alar nasal unit were found during outpatient follow-up. These problems lead to the necessity of refinement procedure to reduce the bulkiness to improve the aesthetic outcome of the patient. Microfat graft was the method chosen to volumized the sunken nasolabial and asymmetric alar nasal unit. Results: Patient is satisfied with the result due to improvement of alar nasal units symmetricity and reduced bulkiness of the flap area. No complication was observed. Conclusion: Meticulous planning and staging of the surgical refinement procedures in conjunction with microfat graft results in good aesthetic outcome and satisfies the patient and reduces the possibility of complications.Keywords
This publication has 6 references indexed in Scilit:
- Early And Recent Development Of Reconstructive Microsurgery Subspeciality In Dr. Cipto Mangunkusumo National Hospital, Universitas Indonesia (1983-2020)Jurnal Plastik Rekonstruksi, 2019
- Current Clinical Applications of Fat GraftingPlastic and Reconstructive Surgery, 2017
- Nanofat GraftingPlastic and Reconstructive Surgery, 2013
- Development of micro-injection as an innovative autologous fat graft technique: The use of adipose tissue as dermal fillerJournal of Plastic, Reconstructive & Aesthetic Surgery, 2012
- Achieving Aesthetic Results in Facial Reconstructive MicrosurgeryPlastic and Reconstructive Surgery, 2012
- Reconstruction of maxillectomy and midfacial defects with free tissue transferJournal of Surgical Oncology, 2006