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Facial Plast Surg 1997; 13(2): 83-92
DOI: 10.1055/s-2008-1064470
© 1997 by Thieme Medical Publishers, Inc.

Subcutaneously Pedicled Island Flaps

Alina A.M. Fratila1 , Roland Kaufmann2
  • 1Day Surgery Clinic, Bonn, Germany
  • 2Department of Dermatology, Johann Wolfgang Goethe University Frankfurt am Main, Germany
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Publication History

Publication Date:
02 June 2008 (online)

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ABSTRACT

Subcutaneously pedicled island flaps (SPIF) are very mobile local flaps bringing into the surgical defect skin of similar texture and color to that of the recipient site. SPIF flaps are eminently simple to create: an island of skin is incised until the fatty tissue is visualized and the flap connections to surrounding tissue are carefully disconnected without damaging the nutrient vessels. The viability of such flaps is excellent. If appropriately performed, side effects such as pincushioning are rare.

KEY WORDS

island flap - pincushioning - pivotal restraint