Restoration of Facial Contour Using Free Vascularized Omental Transfer

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Abstract
Three cases were described in which free omental transfer was utilized for facial soft tissue augmentation. Dissections in 30 cadavers confirmed the 5 patterns of vascular distribution, diameter of omental vessels, and fat distribution within the greater omentum. The versatile omentum offered advantages over the deepithelialized groin flap: long pedicle, larger vessel size, less bulk and tissue that could be layered upon itself. Retention of septae along natural facial contour lines improved placement, and minimized late migration of transferred omental tissue.

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