Facial contour deformity correction with microvascular flaps based on the 3-dimentional template and facial moulage
A 26-year-old lady presented with unilateral contour deformity of the left side of the face. She was extremely worried about the infraorbital depression and the flattening of her left side of the face. On examination in addition to the flattening, the skin was hyperpigmented and a coup-de-sabre was seen extending along the nasolabial fold, corner of the mouth and chin. Patient was closely followed for 1 year prior to the surgery for any progression of the deformity. Upon ensuring non-progression of the disease she underwent a soft-tissue augmentation with an ALT flap. The flap was extended across the midline beneath the lower lip. Her post-operative course was uneventful. Although she achieved good contour correction, hyperpigmentation persisted possibly due to atrophy of the overlying skin [Figures –].