CraniofacialPrefabricated Expanded Flap Combined With Expanded Scalp Flap for Total Face ResurfacingSun, Haiyang MDa; Liu, Yachen MDa; Yao, Ping MDa; Shi, Yanyan MDa; Char, Sydney MDb; Wang, Xuelian MDa; Yao, Jianmin MDa; Yang, Chuan MDc; Tan, Xiaoyan MDaAuthor Information From the aDepartment of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang, China bDepartment of Plastic Surgery, Tufts School of Medicine, Boston, MA cDepartment of Plastic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Received March 12, 2020, and accepted for publication, after revision October 23, 2020. Conflicts of interest and sources of funding: none declared. Reprints: Xiaoyan Tan, MD, Department of Plastic Surgery, HangZhou Plastic Surgery Hospital, 168 Shangtang Rd, Hangzhou, Zhejiang, China. E-mail: [email protected]. Annals of Plastic Surgery: March 2021 - Volume 86 - Issue 3S - p S265-S268 doi: 10.1097/SAP.0000000000002635 Buy Metrics Abstract Reconstruction of total facial deformities and defects has been a major challenge of reconstructive surgery. Allotransplantation is limited by the number of donors and the need for life-long immunosuppression. Autotransplantation, where multiple autogenous tissue grafts from various donor sites are used to repair facial defects, inevitably leaves conspicuous patchwork scars. A prefabricated monoblock flap, although the preferred treatment modality, is limited by insufficient blood supply and the large size of the flap. In the Journal of Craniofacial Surgery (2014;25:21–25), Li et al applied the technique of flap prefabrication and stem cell–assisted tissue expansion to reconstruct total facial injuries, but the operations were complicated and the final expanded flap area was also uncertain. This article introduces an approach to reconstruct total facial injuries with a prefabricated expanded thoracic flap combined with an expanded scalp flap (called combined flaps), which not only solves the limitations of blood supply and expanded volume but also reduces patchwork scars. The approach is a simple, feasible, and effective surgical method for total face resurfacing. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.