Introducing the subdermal free flap: Preserving the ultrathin-free skin flap option in morbidly obese patients

摘要

In the morbidly obese population (BMI35), distal extremity defects are difficult to reconstruct. Traditional skin flaps are several centimeters in thickness in obese patients; however, a new plane superficial to the scarpal plane has demonstrated success in these patients. In this report, we present a 62-year-old female (BMI=44.81) with a chronic lower extremity wound. A suprascarpal thin flap (approximately 1cm in thickness) was harvested from the thigh and transferred successfully with no wound-healing issues.