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Rhytidectomy in patients with facial lipodystrophy: A review of the literature with case presentations

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Abstract

Partial lipodystrophy continues to be a baffling disorder. Procedures used for facial contour restoration have varied. Dermal-fat grafts, fat injections, microvascular free-flap grafts, and occasional injections of medical-grade liquid silicone are currently the most common methods of facial contour restoration, and although these techniques have resulted in good cosmetic results, there are drawbacks to each. We present a review of the medical literature concerning facial lipodystrophy and its cosmetic correction along with case reports of contour restoration in two facial lipodystrophic patients.

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References

  1. Barraquer L: Histaire Clinique d'un czs d'atrophic du tissue celluloadipeux. Neurol Zentralbl26:1072, 1907

    Google Scholar 

  2. Barraquer-Ferre L: Pathogenesis of progressive cephalothoracic lipodystrophy. J Nerv Ment Dis109:113, 1949

    Google Scholar 

  3. Baxter H, Entia MA, Drummond JA: Progressive lipodystrophy? Can Med Assoc J59:452, 1948

    Google Scholar 

  4. Bennett Wm: Partial lipodystrophy, C3 nephritic factor and clinically inapparent mesangiocapullary glomerulonephritis. Am J Med62:752, 1977

    Google Scholar 

  5. Beverly BI: Lipodystrophy: hemiatrophy of the face. Am J Dis Child50:285, 1935

    Google Scholar 

  6. Brusova LA, Tebloyev IK: Treatment of Barraquer-Simon's disease and of progressive hemiatrophy of the face. Acta Chir Plast18:49, 1976

    PubMed  Google Scholar 

  7. Christiansen V: Lipodystrofia progressiva. Hospital Stidenden57:225, 1914

    Google Scholar 

  8. Goubran GF: Lipodystrophy: a case report of partial lipodystrophy of the face. Br J Oral Surg14:253, 1977

    PubMed  Google Scholar 

  9. Hollander E: Ueber einen Fall van fortschreitendem Schund des fettgewebes und seihen kosmetischen ensatz durch menschenfett.8:1082, 1910

  10. Hurwitz PJ, Sarel R: Facial reconstruction in partial lipodystrophy. Ann Plast Surg8:253, 1982

    PubMed  Google Scholar 

  11. Ingersheimer WW: Progressive lipodystrophy: etiologic aspects and report of a case. Am J Dis Child75:206, 1948

    Google Scholar 

  12. Jones E: Progressive lipodystrophy. Br Med J1:313, 1956

    Google Scholar 

  13. Jurkiewicz MJ: Restoration of facial contour using vascularized omental transfer (discussion). Plast Reconstr Surg66:568, 1980

    Google Scholar 

  14. Jurkiewicz MJ, Nahai F: The use of free revascularized grafts in the amelioration of hemifacial atrophy. Plast Reconstr Surg76:44, 1985

    PubMed  Google Scholar 

  15. Langhof F, Zabel R: On lipodystrophia progressiva. Arch Klin Exp Dermatol 210:313, 1960

    PubMed  Google Scholar 

  16. Lawrence RD: Lipodystrophy and hematomegaly with diabetes lipaemia, and other metabolic disturbances. A case throwing new light on the action of insulin. LancetI:724, 1946

    Google Scholar 

  17. Mitchell SW: Singular case of absence of adipose matter in the upper half of the body. Am J Med Sci90:105, 1885

    Google Scholar 

  18. Patrick JG: The complement abnormalities of lipodystrophy. N Engl J Med294:461, 1976

    PubMed  Google Scholar 

  19. Poley JR, Stickler GB: Progressive lipodystrophy: a clinic study of 50 patients. Am J Dis Child106:356, 1963

    PubMed  Google Scholar 

  20. Rees TD: Facial atrophy. Clin Plast Surg3:637, 1976

    PubMed  Google Scholar 

  21. Rees TD, Ashley FL, Delgado JP: Silicone fluid injections for facial atrophy. Plast Reconstr Surg52:118, 1973

    PubMed  Google Scholar 

  22. Rees TD, Coburn RJ: Silicone treatment of partial lipodystrophy. J Am Med Assoc230:868, 1974

    Google Scholar 

  23. Ritkind BM, Boyle JA, Gale M: Blood lipid levels, thyroid status and glucose tolerance in progressive partial lipodystrophy. J Clin Pathol20:52, 1967

    PubMed  Google Scholar 

  24. Roed-Peterson B, Moller E: Hemifacial lipodystrophy. Oral Surg47:230, 1979

    PubMed  Google Scholar 

  25. Senior B, Gellis SA: The syndromes of total lipodystrophy and of partial lipodystrophy. Pediatrics33:593, 1964

    PubMed  Google Scholar 

  26. Simons A: Eine seltene troponeurose (Lipodystrophia progressiva) Z Ges Neurol Psychiatr5:29, 1911

    Google Scholar 

  27. Sokolova LA: Free adipo-dermal grafts in the surgical treatment of progressive lipodystrophy. Acta Chir Plast14:157, 1972

    PubMed  Google Scholar 

  28. Taylor WB, Honeycutt WM: Progressive lipodystrophy and lipoatrophic diabetes. Arch Dermatol84:81, 1961

    Google Scholar 

  29. Tweed A, Manktelow R, Zuker R: Facial contour reconstruction with free flaps. Ann Plast Surg12:313, 1984

    PubMed  Google Scholar 

  30. Upton J, Mulliken JB, Hicks PD, Murray JE: Restoration of facial contour using vascularized omental transfer. Plast Reconstr Surg66:560, 1980

    PubMed  Google Scholar 

  31. Van Leudwen HC: Ueber familares Vorkommen Van lipodystrophia progressiva Zusammen mit Ostosklerose, Knochencysten und geistiger debilitat. Ztsch F Klin Med123:534, 1933

    Google Scholar 

  32. West JR, Fosbrook AS, Lloyd JK: Metabolic studies and autonomic function in children with partial lipodstrophy. Arch Dis Child49:627, 1974

    PubMed  Google Scholar 

  33. Woods JE: The use of free revascularized grafts in the amelioration of hemifacial atrophy (discussion). Plast Reconstr Surg76:44, 1985

    PubMed  Google Scholar 

  34. Zafarulla MYM: Lipodystrophy: A case report of partial lipodystrophy. Br J Oral Maxillofacial Surg23:53, 1985

    Google Scholar 

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Authors and Affiliations

  1. Akron, Ohio, USA

    Brian Davies M.D., Bahman Guyuron M.D. & John Cederna M.D.

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  1. Brian Davies M.D.
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  2. Bahman Guyuron M.D.
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  3. John Cederna M.D.
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Davies, B., Guyuron, B. & Cederna, J. Rhytidectomy in patients with facial lipodystrophy: A review of the literature with case presentations. Aesth. Plast. Surg. 13, 267–271 (1989). https://doi.org/10.1007/BF01570359

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  • DOI: https://doi.org/10.1007/BF01570359

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