Hemifacial Atrophy

Hemifacial Atrophy (HFA) is a rare, progressive condition where the skin, soft tissues, and sometimes muscles and bones on one side of the face gradually deteriorate. It typically affects just one side (hence “hemi”), but in rare cases, it can involve both sides or extend to other body parts like the limbs or trunk. Usually begins in childhood or early adulthood.Slowly deteriorates over several years, often stabilizing later. Appearance is sunken facial features due to tissue loss.Headaches, seizures, and other neurological issues may occur.Often considered part of a spectrum with localized scleroderma, especially morphea en coup de sabre.

Pre and Post Op pictures of hemi-facial atrophy corrected by Free scapular Flap in different patients.