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J Reconstr Microsurg 2010; 26(5): 341-345
DOI: 10.1055/s-0030-1249319
© Thieme Medical Publishers

Anterolateral Thigh Adipofascial Flap for Correction of Facial Contour Deformities and Micromastia

Qixu Zhang1 , 2 , Qun Qiao1 , Gang Zhou1 , Geoffrey L. Robb2
  • 1Plastic Surgery Hospital, Peking Union Medical College, Beijing, China
  • 2Plastic Surgery Department, University of Texas MD Anderson Cancer Center, Houston, Texas
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Publication History

Publication Date:
24 February 2010 (online)

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ABSTRACT

The anterolateral thigh (ALT) flap has gained popularity, yet the donor site remains problematic. With increased knowledge of the vascular anatomy, we anticipated that we would be able to contour the ALT adipofascial flap when reconstructing facial deformities and micromastia without sacrificing skin at the donor site. A total of 24 cases of hemifacial atrophy and 1 case of micromastia underwent anterolateral thigh adipofascial flap transplantation with vascular anastomosis. All surgical reconstructions resulted in satisfactory results with minimal donor-site morbidity. The anterolateral thigh adipofascial perforator flap is an ideal choice for autologous tissue reconstruction with primary defatting.

KEYWORDS

ALT adipofascial flap - facial contour reconstruction - breast augmentation

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Qixu ZhangM.D. Ph.D. 

Plastic Surgery Department, University of Texas MD Anderson Cancer Center

1515 Holcombe Blvd., Houston, Texas 77030

Email: lukeqixu@yahoo.com