J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Jul;32(4):344-350.

A Case Report of Progressive Hemifacial Atrophy

• Choi MG

Abstract

A progressive hemifacial atrophy is characterized by progressive atrophy of subcutaneous fat and rarely muscle and bone. Its contour follows the underlying muscle. Unilateral involvement is common. The treatment goal has been focused on the augmentation of the soft tissue. Many materials such as implants, collagen, fat graft, fat injection, dermal fat graft, filler and vascualized autogenous graft have been used. Although these materials have been used, the best treatment hasn't been achived. In severe cases underlying soft tissue, muscle and bone may be atrophied and massive soft tissue graft, implant and orthognathic surgery must be used. The author used the dermal-fat tissue for the pupose of soft tissue augmentation. We can get the massive soft tissue by the dermolipectomy procedure through the mini-abdominoplsty. The facial augmentation was done by augmentation of the dermal-fat tissue. The progressive hemifacial atrophy is hard to treat by only one procedure and many modalites must be considered.

Keyword

Progressive hemifacial atrphy; Dermal fat gtaft; Mini-abdominoplasty

MeSH Terms

Atrophy
Collagen
Facial Hemiatrophy
Muscles
Orthognathic Surgery
Subcutaneous Fat
Transplants
Collagen