Pre-expanded, Prefabricated Monoblock Perforator Flap for Total Facial Resurfacing

Abstract

In this article, we present the pre-expanded, prefabricated supercharged cervicothoracic monoblock perforator flap for total or subtotal facial resurfacing. This technique can be a reliable reconstruction option for extensive facial skin defect with undamaged muscles and deep structures, which could provide excellent aesthetic and functional outcomes with acceptable complications. Our approach may replace a conventional "skin-only" face allotransplantation in selected patients.

Keywords: Cervicothoracic flap; Pre-expanded flap; Prefabricated flap; Stem cell transplantation; Total facial resurfacing.