[Correction of hemifacial atrophy by use of a chest dermal-fat flap with the platysma pedicle].

OBJECTIVE

To present a new dermal-fat flap for the correction of hemifacial atrophy.

METHODS

An upper chest dermal-fat flap was created with its upper margin 1 cm cranial to the clavicle. The platysma pedicle of the dermal-fat flap, 5 cm in width, was dissected subcutaneously through a skin incision caudal to the mandibular margin. The platysma pedicle was turned over at the mandibular margin so that the dermal-fat-flap could be transposed fitly to the atrophic face.

RESULTS

Eight cases were treated by this technique. Good results were achieved.

CONCLUSION

This flap is suitable for the correction of hemifacial atrophy for its good blood circulation and a large amount of tissue.