, Shimin Chang2, Jian Lin3 and Dajiang Song1
(1)
Department of Orthopedic Surgery, Changzheng Hospital Second Military Medical University, Shanghai, China
(2)
Department of Orthopedic Surgery, Yangpu Hospital Tongji University School of Medicine, Shanghai, China
(3)
Department of Microsurgery, Xinhu Hospital Shanghai Jiao Tong University, Shanghai, China
Bulky flaps cause aesthetically unacceptable outcomes and result in poor function in areas such as the feet, the hands, the face, and the neck. A thinned perforator flap suggests a uniformly thin adipose layer at the flap elevation. To simplify and avoid confusion in the nomenclature, the term thinned perforator flap is used to replace terms such as thin, super-thin, extremely thinned, and microdissected thin.
The thinned adipocutaneous perforator flap is based on the subdermal plexus, which is sensitive to excessive defatting and inappropriate flap design, especially when it is eccentric perforator based (Fig. 6.1
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