Contemporary surgical management of HIV-associated facial lipoatrophy

E. Funk, F. J. Bressler, Anthony E. Brissett

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


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 languageEnglish (US)
Pages (from-to)1015-1022
Number of pages8
JournalOtolaryngology - Head and Neck Surgery
Issue number6
StatePublished - Jun 2006

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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