Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, unilateral atrophy of the facial tissues, involving skin, subcutaneous fat, and underlying musculature. Onset noted at [Age/Date], with gradual progression of hemifacial volume loss, skin hyperpigmentation, and localized alopecia. No history of trauma or systemic autoimmune disease. Patient reports [asymmetry/sensory changes/trigeminal neuralgia].
Clinical Examination Findings
Physical exam reveals distinct hemifacial atrophy localized to the [Distribution: e.g., V1/V2/V3] dermatomes. Findings include: subcutaneous fat depletion, dermal thinning, and "coup de sabre" linear scarring. Musculoskeletal assessment shows underlying bony hypoplasia of the [Maxilla/Mandible/Zygoma]. Ocular/dental assessment: [Normal/Abnormal]. Cranial nerve function: [Intact/Deficit].
Treatment Protocol
Treatment plan: 1. Stabilization of disease activity (referral to Rheumatology if active). 2. Surgical reconstruction: Autologous fat grafting (Coleman technique) for volume restoration. 3. Structural support: Dermal fillers or silicone implants for contour correction. 4. Severe cases: Free flap reconstruction (e.g., ALT or DIEP flap) for significant soft tissue deficiency. 5. Orthognathic surgery for underlying skeletal hypoplasia.