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
