Chirurgie reconstructrice des tissus mous dans les microsomies hémifaciales

Guichard, Sylvie; Arnaud, Élodie

doi:10.1016/s0294-1260(01)00051-6

Cited by 5 publications

(1 citation statement)

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“…[17][18][19] For its volumetric qualities and regenerative capacity, fat harvesting was suggested in many facial asymmetries: after trauma, post-tumor resection, congenital complex, and hemifacial asymmetry (Franceschetti and Romberg syndromes). 4,[13][14][15][16][29][30][31][32][33][34] Our best results, following the traditional Coleman technique, were performed in the treatment of genetically determined syndromes, such as the Franceschetti and Romberg syndromes. Autologous fat transportation appears, particularly indicated in complex reconstructive surgery, as a powerful tool to improve facial aesthetics.…”

Section: Discussionmentioning

confidence: 99%

Autologous Fat Grafting in Facial Volumetric Restoration

2016

Journal of Craniofacial Surgery

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The authors reported their surgical experience about structural fat grafting in the management of facial volumetric deficit. The purpose of this study was to assess the real indications, cosmetic results, complications, and global patient satisfaction of the Coleman technique in redefining facial contours in congenital and postoperative deformities. A retrospective analysis of 32 patients grafted according to Coleman's technique was performed, and the long-term outcomes and patient satisfaction were evaluated. The mean postoperative clinical follow-up was 14 months. The morphological changes were analyzed by comparing the photographic presurgical facial contour and the postoperative correction of soft tissue defects. All consecutive cases reported showed a progressive fat resorption for 3 months after surgery and its stable integration only after this period. Best results were performed in the treatment of genetically determined syndromes, such as the Franceschetti and Romberg syndromes. The authors suggest this surgical technique also for the treatment of unaesthetic cutaneous abscess cavity after incision and drainage. Unsatisfactory outcomes were obtained in the treatment of the posttraumatic facial scar, which needed more surgical procedures.

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