Extracorporeal fascia-fat flap for restoration of facial contour in progressive hemifacial atrophy.

A radial forearm fascia-fat flap transferred by extracorporeal tissue transfer has been evolved and is presented here for the treatment of Romberg's hemifacial atrophy as an alternative to free tissue transfer. The advantages of this technique are that it transfers a similar kind of tissue which is autogenous, the transferred tissue is not liable to undergo absorption, and it has a natural consistency and less gravitational sag. Donor site morbidity is minimal, it is almost a single stage procedure as the second stage is minor, and most important of all, results similar to free flap transfer can be achieved without the facilities and training required for microsurgery.