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Thin Superficial Circumflex Iliac Artery Perforator Flap and Supermicrosurgery Technique for Face Reconstruction

Choi, Dong Hoon MD; Goh, Terence MBBS, MRCS; Cho, Jae Young MD; Hong, Joon Pio MD, PhD

The Journal of Craniofacial Surgery: November 2014 - Volume 25 - Issue 6 - p 2130–2133
doi: 10.1097/SCS.0000000000001093
Clinical Studies

Distant free flaps have become a routine option for reconstruction of large, complicated facial soft tissue defects. The challenge is to find a flap that is pliable to provide good contour and function. The purpose of this paper was to evaluate the use of superficial circumflex iliac artery perforator (SCIP) flaps for facial defects.

From November 2010 to June 2013, facial reconstruction was performed on 6 patients (age range, 15–79 years). The harvesting technique was modified to elevate above the deep fat, and the pedicles were taken above or just below the deep fascia. The mean size of the flap was 75.6 cm2, with a thickness of 7 mm; the mean pedicle length was 4.9 cm; and the mean artery caliber was 0.7 mm. The supermicrosurgery technique was used successfully in all 6 cases. Donor sites were all closed primarily. The mean follow-up was 16.7 months.

All flaps survived without flap loss, and the donor sites healed without complications including lymphorrhea. The patients were satisfied with contour and function after reconstruction.

The result of these 6 cases suggested that the SCIP flap can be a reliable flap for moderate-sized to large defects in the face. The use of new instrumentation and supermicrosurgical techniques allows use of the SCIP flap reliably while providing patients with a good contour, function, and minimal donor site morbidity.

From the Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Received March 11, 2014.

Accepted for publication May 8, 2014.

Address correspondence and reprint requests to Joon Pio Hong, MD, PhD, Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Poongnap2-dong, 388-1, Seoul 138-736, Korea; E-mail:

The authors report no conflicts of interest.

© 2014 by Mutaz B. Habal, MD.