28. Frontal and lateral views of a 22-year-old man with severe, hypertrophic burn scar contracture of the jaw and neck
29. Design of flap to be prefabricated over the left medial thigh, showing the saphenous vein traversing the length of the flap, and the descending branch of the lateral femoral circumflex vascular pedicle, which will be transposed medially ( arrow); Gore-Tex tubing is applied to the proximal pedicle (cross-hatched and marked in yellow). Expanded prefabricated flap at 8 weeks, immediately prior to harvest.
30. Early postoperative result; the flap is bulky but there is no venous congestion because the saphenous vein was anastomosed in addition to the transferred descending branch of the lateral femoral circumflex artery and its venae comitantes. Result 12 months later after two thinning procedures .