Case 7

Sulfuric Acid was thrown in her face when she was 16. Her chin is burned down to the bone. Her ear was burned off. Her facial skin is like dried tree bark and needs to be removed.

I’ll draw in the vectors of the healing radial forearm flap and see where it leads me…

I’ll re-do this area and make sure the vectors cancel out perfectly this time.

The line at the interface between the forearm flap and her advancement flap over her chin can be made ‘’invisible’’ by making 6 or 7 z-plasties… Then you will not be able to notice any difference between the forearm skin and her facial skin. I don’t want to ‘’sand’’ it because the skin over her chin has been stressed too much already. A dermabrader would be best but I don’t have one. ( A dermabrader is really just a mini z-plasty machine…) Maybe I will wait for a machine to get the best result for her. So for now I have finished… Please do note how perfectly horizontal is the shadowline between her lips. My creation of using vector cancellation in facial reconstruction was a success…

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See her beauty through the scars…

I am so proud of this.This girl’s life was ruined at age 16 by the acid burn. Now, she is beautiful…She ended up marrying the young man who first brought her to my clinic, asking for help after having taken her to many hugely-funded plastic surgery charities in Phnom Penh who told her there was nothing they could do. They now have a beautiful baby daughter…

 

This case is also note-worthy on a personal level. I used many techniques and lines of reasoning that cannot be found in any textbook of plastic surgery. It was my first case of this kind and I had nothing to guide me so I had to look inward, to my aesthetic sense for the vision and then apply my understanding of physics and skill as a surgeon to make it a reality. She is so beautiful to me…

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