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Related Experiment Video

Updated: Feb 7, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Thin elevation: A technique for achieving thin perforator flaps.

Hyung Hwa Jeong1, Joon Pio Hong1, Hyun Suk Suh1

  • 1Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Archives of Plastic Surgery
|July 25, 2018
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Summary
This summary is machine-generated.

This study introduces a safe surgical technique for elevating thin flaps in lower extremity reconstruction. Elevating flaps above the superficial fascia minimizes donor site issues while maintaining flap viability and aesthetic outcomes.

Keywords:
Free tissue flapsLower extremitySubcutaneous tissue

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Thin flaps offer significant advantages in reconstructive surgery.
  • Elevating thin flaps has been a long-standing objective for reconstructive surgeons.

Purpose of the Study:

  • To present a novel surgical method for elevating thin flaps.
  • To demonstrate the safety and efficacy of this technique in lower extremity reconstruction.

Main Methods:

  • Retrospective review of electronic medical records (April 2016 - September 2016).
  • Analysis of 15 superficial circumflex iliac artery free flaps and 13 anterolateral thigh free flaps.
  • Flaps were elevated above the superficial fascia.

Main Results:

  • Overall complication rate was 17.56% (5/28 patients).
  • Total flap loss occurred in 3.57% (1/28), and partial necrosis in 14.28% (4/28).
  • No donor site complications such as wound dehiscence or graft loss were reported.

Conclusions:

  • Elevation of thin flaps above the superficial fascia is a safe and effective technique for lower extremity reconstruction.
  • This method is not inferior to other techniques regarding flap necrosis risk.
  • The technique superiorly reduces donor site morbidity and provides good aesthetic results.