[Recontouring the lower extremity after injuries]

To achieve a re-contouring of the lower extremities the conservative methods of the local slide plasty, the Z-plasty and the slide swing plasty in combination with subcutaneously pedicled fat flaps as single or combined measures proofed satisfying. As far as the general extend and the localization of the defect admits, those measures may be superior to the free and musculo-cutaneous flaps in respect to esthetically good results. Several cases may demonstrate those possible methods. Besides the technical know-how, a well based planning in connection with a specific valuation of the different operative methods are the fundamental necessities for a satisfying result.