Facial contour deformity correction with microvascular flaps based on the 3-dimentional template and facial moulage
A 21-year-old girl presented with unilateral deformity of the left side of the face. She and her parents were extremely anxious about the progressive flattening of the face. On examination, she was found to have significant soft-tissue atrophy of the malar and zygomatic regions on the left side of the face. There was also thinning of the upper lip with excessive show of dentition. The soft-tissue correction was done with de-epithelialised radial forearm flap. The flap was chosen based on the required tissue thickness of the template. The donor site needed a skin graft for the closure. During the 5th post-operative day, haematoma developed between the flap and skin causing marginal loss of the overlying skin of the nasolabial region, which was debrided and sutured secondarily. Flap vascularity was undisturbed. This also necessitated minor soft-tissue revisions at follow-up. At 3 year follow-up, the flap had settled well with good contour correction [Figures –].