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Our technique of using a muscle component to fill the cheek defect was based on our experience with free muscle transfer in facial reanimation. In comparison with adipose tissue, muscle tissue does not show a tendency for ptosis because of its consistency and firm attachment of the muscle surface to the surrounding tissues. These cases demonstrate the possibility for the use of simultaneous dissection of the face and flaps, and the reliability of the vascular pedicle. The stability of the abdominal wall was secured by closure of the rectus sheath over Teflon mesh, which has been proven to prevent hernia. Our long\u2010term follow\u2010up demonstrates a stable symmetrical facial appearance. \u00a9 2002 Wiley\u2010Liss, Inc. MICROSURGERY 22:211\u2013218 2002<\/jats:p>","DOI":"10.1002\/micr.22508","type":"journal-article","created":{"date-parts":[[2002,10,6]],"date-time":"2002-10-06T11:56:23Z","timestamp":1033905383000},"page":"211-218","source":"Crossref","is-referenced-by-count":8,"title":["Facial contour restoration in Barraquer\u2010Simons syndrome using two free tram flaps: Presentation of two case reports and long\u2010term follow\u2010up"],"prefix":"10.1002","volume":"22","author":[{"given":"Sofie","family":"Goossens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Coessens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,7,30]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/j.1399-0004.1990.tb03602.x","article-title":"Partial lipodystrophy syndromes\u2014a further male 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