Abstract
Objectives: The purpose of this study is to describe our experience with facial volume restoration in 39 HIV-associated facial lipoatrophy patients, and formulate a treatment algorithm that can be utilized for these patients based on their disease severity. Methods: Preoperative and postoperative photographs were evaluated by 2 experienced facial plastic surgeons using grading scales. The reviewers' scores were then compared and the distribution of scores was analyzed. Results: Thirty-nine patients underwent malar silastic implantation. Seven patients required postoperative adjuvant filler injection. Most patients' results were rated good to excellent. There were 4 late complications. Conclusion: HIV-associated facial lipoatrophy is a socially disabling condition that causes noticeable disfigurement and stigmatizes the patient. We demonstrate the importance of combining a reliable grading scale with a strategic treatment algorithm that utilizes multiple modalities for volume restoration. EBM rating: C-4.
Original language | English (US) |
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Pages (from-to) | 1015-1022 |
Number of pages | 8 |
Journal | Otolaryngology - Head and Neck Surgery |
Volume | 134 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2006 |
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology