Buccal Fat Advancement-Transposition Flap for Reconstruction of Midface Volume Defects.
Facial Plast Surg Aesthet Med
; 26(4): 497-502, 2024.
Article
in En
| MEDLINE
| ID: mdl-38597716
ABSTRACT
Background:
The buccal fat pad (BFP) has previously been utilized for repair of various defects of the head and neck.Objectives:
We explore the utility of a pedicled buccal fat advancement-transposition (BFAT) flap in various forms of midface reconstruction through a variety of surgical approaches and characterize its volume and axial reach in human anatomic specimens.Methods:
Ten adult full-head human anatomic specimens were dissected, and a single surgical case demonstrating the use of a BFAT flap is described.Results:
Nasolabial, subciliary, and deep plane facelift incisions all provided access to the BFP for use as a BFAT flap. The mean volume of mobilizable fat contained within a BFAT flap accessible through external incision was 7.1 cm3. Once fully mobilized, the externalized BFAT flap had a mean axial reach of 6.9 cm without tension. We also present a case illustrating the successful use of a BFAT flap for volumization of a large midface defect secondary to Mohs micrographic surgical resection of a cutaneous malignancy.Discussion:
The BFAT flap, which exhibited substantial volume and reach in this study, can be harvested through multiple dissection windows or pre-existing defects and be used to reconstruct a variety of midface defects.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Flaps
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Cheek
/
Adipose Tissue
Limits:
Female
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Humans
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Male
Language:
En
Journal:
Facial Plast Surg Aesthet Med
Year:
2024
Document type:
Article