<p><b>OBJECTIVE</b>To evaluate the
therapeutic effect of
dermis-fat
graft combined with Medpor implant shaped by reverse
engineering technique in the correction of the
progressive hemifacial atrophy.</p><p><b>
METHODS</b>A
skull model was made by rapid prototyping and the bony
deficiency model was acquired with reverse
engineering technique. The Medpor implant was shaped precisely based on the
deficiency model and implanted with
dermis-fat
graft at the same stage.</p><p><b>RESULTS</b>11 cases were treated successfully without
infection,
necrosis and rejection. The
patients were followed up for six months to one year with satisfactory cosmetic improvement. The
dermis-fat
graft survived without obvious
absorption.</p><p><b>CONCLUSION</b>The
technique can correct both the bony and soft
tissue deficiency for
progressive hemifacial atrophy. It is very practical and easily performed with reliant results and less
morbidity.</p>