Soft tissue contouring using autologous tissue for hemifacial atrophy

Summary Numerous methods for the restoration of facial symmetry in patients with hemifacial atrophy have been described. Most recently, the use of autologous tissue for augmentation has been employed. Experience gained from the use of free-tissue transplantation with microvascular anastomosis and injection of liposuctioned fat are presented in this paper. In 19 patients, reconstruction was performed using microsurgical tissue transfer, while in 3 patients, autologous fat transplantation alone was used. Indications, operative techniques together with the advantages as well as disadvantages associated with each procedure are described.