Facial liposuction combined with botulinum toxin type A:A technique for lower facial contouring

Background:Botulinum toxin type A injection,a noninvasive alternative method for treating masseteric hypertrophy,is inadequate for treating patients with a round lower face.This study aimed to investigate the operative technique and clinical results of liposuction followed by botulinum toxin type A injections in patients with masseteric hypertrophy and excessive subcutaneous fat.Methods:Sixty-five patients(50 women and 15 men)were treated using this technique between May 2014 and January 2019.Their mean age was 26.3 years(range,18–35 years)and the mean follow-up period was 13 months(range,8–18 months).Results:All patients achieved slimmer lower cheeks with improved jaw definitions after the procedure.Among the 65 patients,61(94%)expressed satisfaction with the results and believed that the procedure produced their desired face shape.No major complications were observed.The effect of this combination treatment remained stable for 12 months after the procedure.Conclusion:The authors believe that liposuction followed by botulinum toxin type A injections is an effective technique for the treatment of masseteric hypertrophy and excessive subcutaneous fat.It is also a relatively simple and safe treatment approach.

The Use of Rotation Flap to Cover a Facial Defect—A Case Study

Background: There are often situations that require the correction of facial defects. Local fasciocutaneous flaps provide a reasonable option for reconstruction of facial defects with good colour and texture match and good success rate. Among the various options of local flaps is the use of a rotation flap. Aim: The aim of this work is to demonstrate the reliability of the rotation flap in the correction of facial defects and its ability to achieve a good aesthetic outcome by applying the knowledge of facial aesthetic units. Case Presentation : This is a case report of a 28-year-old woman who suffered an avulsion injury to the face with loss of facial tissue resulting in exposure of the left zygomatic bone. The defect measured 5 cm × 6 cm. A rotation flap was used to cover the defect after the wound had been previously irrigated and debrided. Her wounds healed well. She suffered no facial nerve injury. The rotation flap resulted in a good colour match with no disruption of facial contour. Conclusion: The Rotation flap provides a reasonable option for reconstruction of facial defects with good colour and texture match.