Facial Augmentation with Groin Osteoadiposal Flap Transfer

ABSTRACT

The authors report the advantages of the groin osteoadiposal flap for facial augmentation, which include the possibility of a conjoint type of flap harvesting with one main set of vessels (usually, the superficial circumflex iliac vessels); one-stage augmentation without secondary defatting; a donor scar in a concealed area; and rigid flap fixation with bone plating.

KEYWORDS

Hemifacial atrophy - groin osteoadiposal flap - intraoral approach

REFERENCES

• 1 Fujino T, Tanino R, Sugimoto C. Microvascular transfer of free deltopectral dermal-fat flap.  Plast Reconstr Surg. 1975;  55 428-434
• 2 Harashina T, Nakajima T, Yoshimura Y. A free groin flap reconstruction in progressive facial hemiatrophy.  Br J Plast Surg. 1977;  30 14-16
• 3 Dunkley M P, Stevenson J H. Experience with the free “inverted” groin flap in facial soft tissue contouring: a report on 6 flaps.  Br J Plast Surg. 1990;  43 154-158
• 4 Koshima I, Urushibara K, Inagawa K et al.. One-stage facial augmentation with an intraoral groin adiposal flap transfer.  Ann Plast Surg. 2001;  46 450-453
• 5 Upton J, Albin R E, Mulliken J B et al.. The use of scapular and parascapular flaps for cheek reconstruction.  Plast Reconstr Surg. 1992;  90 959-971
• 6 Longaker M T, Siebert J W. Microvascular free-flap correction of severe hemifacial atrophy.  Plast Reconstr Surg. 1995;  96 800-809
• 7 Siebert J W, Anson G, Longaker M T. Microsurgical correction of facial asymmetry in 60 consecutive cases.  Plast Reconstr Surg. 1996;  97 354-363
• 8 Koshima I, Inagawa K, Urushibara K et al.. Deep inferior epigastric perforator dermal-fat or adiposal flap for correction of craniofacial deformities.  Plast Reconstr Surg. 2000;  106 10-15
• 9 Koshima I, Inagawa K, Urushibara K et al.. One- stage facial contour augmentation with intraoral transfer of a paraumbilical perforator adiposal flap.  Plast Reconstr Surg. 2001;  108 988-994