%0 Case Reports
%T Modified facelift in severe plexiform neurofibromatosis associated with venous vascular malformation: Case report.
%A Mayer HF
%A Palacios Huatuco RM
%A Petersen ML
%A Garcia Rodriguez B
%A Peralta OA
%J Ann Chir Plast Esthet
%V 68
%N 2
%D Apr 2023
%M 36543616
%F 0.75
%R 10.1016/j.anplas.2022.11.004
%X Neurofibromatosis is an autosomal dominant disorder characterized by tumors of the nervous system and skin. Plexiform neurofibromas are common complications of neurofibromatosis type 1 and can cause large facial deformities. Vascular anomalies are in turn a rare manifestation of neurofibromatosis. We present the case of a 48-year-old female patient with right hemifacial neurofibromatosis associated with venous vascular malformation, previously treated surgically and then with sclerosing agents, determining severe residual facial deformity. Her surgical approach using a modified facelift technique associated with partial tumor debulking and lipofilling seems to be a valid technical alternative for these highly complex cases that require a customized approach after exhaustive preoperative evaluation.