A 17-year-old presented with a four-year history of progressive atrophy of the soft tissues of the left side of her face. A diagnosis of facial hemiatrophy (Parry-Romberg syndrome) was made. (This patient and her parents have given explicit permission for her face to be visible in this presentation).
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The patient was taken to the operating room for facial reconstruction using a scapular dermal-fat composite free flap. Doppler was used to localize and assess the two potential donor vessels, the superficial temporal, and the facial. The probe is on the pre-auricular portion of the superficial temporals.
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