Facial contour deformity correction with microvascular flaps based on the 3-dimentional template and facial moulage
A 19-year-old girl presented with progressive flattening of the right side of the face in the region of cheek, posterior mandibular region and upper lip. The progressive deformity started at the age of 8 years and become stable 3 years prior to the surgery. She had mild deviation of the chin to the ipsilateral side without occlusal cant. Assessment of the deformity and planning was done with the facial moulage. Free de-epithelialised groin flap from the opposite side was used for the reconstruction. Submandibular approach was used for pocket creation and anastomosis. Donor site was closed primarily. Patient had uneventful post-operative and was discharged on 20th day. Patient was under follow-up for 48 months and further augmentation of the upper lip with dermal-fat graft was done [Figures –].