Treatment of human immunodeficiency virus-associated facial lipoatrophy with lipofilling and submalar silicone implants
Autor: | Andrea Mori, G. Lo Russo, Tommaso Agostini, Mario Dini, Jacopo Pattarino, F. Vichi |
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Rok vydání: | 2006 |
Předmět: |
Adult
Male medicine.medical_specialty Human immunodeficiency virus (HIV) Facial lipoatrophy medicine.disease_cause Silicone Gels chemistry.chemical_compound Silicone Humans Medicine Lipoatrophy business.industry HIV-Associated Lipodystrophy Syndrome Prostheses and Implants Middle Aged Plastic Surgery Procedures Surgical correction medicine.disease Surgery Cheek Treatment Outcome Adipose Tissue chemistry Face Female Implant Lipodystrophy business Complication |
Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 59:1209-1216 |
ISSN: | 1748-6815 |
DOI: | 10.1016/j.bjps.2005.12.047 |
Popis: | In the absence of a current therapy to prevent facial lipoatrophy in HIV+ patients treated with HAART, surgical correction of the defect still remains the best option. We evaluate two different surgical techniques for facial contour enhancing and suggest the right choice related to the lipodystrophy severity. Twelve HIV+ patients underwent surgical submalar correction: eight were treated with lipofilling following Coleman's technique and four had bilateral malar silicone implants inserted after determining their positioning with the aid of a new software. Both techniques gave long lasting results in facial contour reshaping ranging from good to very good. No complication was observed. In the mean follow-up period of 2 years no patient felt uncomfortable with his/her image. Both techniques, lipofilling and silicone implant positioning, for managing facial lipoatrophy in HIV+ patients treated with HAART had good results, but the right choice has to be related to the severity of the lipodystrophy in the patient. |
Databáze: | OpenAIRE |
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