Clinical application of combined platysma-fascial flap with free dermis fat graft to fill sunken cheek deformity

VernacularTitle:颈阔肌-筋膜瓣联合真皮脂肪片移植充填面颊凹陷的临床应用
Author: Zhuyou XIONG ; Jing XU ; Guangzao LI
Publication Type:Journal Article
Keywords: Sunken cheek deformity; Platysma-fascial flap; Dermis fat graft
From: Chinese Journal of Medical Aesthetics and Cosmetology 2009;15(2):84-87
CountryChina
Language:Chinese
Abstract: Objective To explore the method of treatment of sunken cheek deformity.Methods The longitudinal platysma-faseial flap was overturned 180 degree upward,the flap's pedicle located in the margin of mandible,and then combined with abdominal dermis fat graft to form as a sandwich,which filled in the sunken area of face.Results Five patients were treated with this method from 2003 to 2007,and satisfactory results were gained but only mild absorption was found in the transplanted tissue area during followed up for 3 months to 3 years.Conclusion Platysma-fascial flaps survive easily with rich blood supply and strong anti-infection,and are also easy to incise and operate as well,which,together with free abdominal dermis fat flap,could increase the amount of the needed tissue.It is a better approach to repair the sunken cheek deformity and in particular suitable for the more serious deformity in patients with sunken cheek.