A 22-year-old fair female with severe scarring over the entire mento-sternal region underwent tissue expansion of both supraclavicular territories using curved cylindrical expanders measuring 12.5cm × 5.5cm × 6cm (vol 350cc each) []. After excision of the defect, two flaps, the right flap measuring 16cm × 14cm and the left flap measuring 14cm × 7cm, were harvested and the defect resurfaced with the left flap placed cranially and the right one placed caudally. The recovery was uneventful and the color and texture match as well as the pliability of the flaps was satisfactory [Figures and ]. At the 8-month follow-up visit, the neck extension was complete and the cevico-mental definition was maintained. The donor sites were closed primarily.
A 35-year-old male patient with severe keloidal scarring of the cervico-mental region was our most recent patient. We placed two rectangular expanders on both sides []. After excision of the scar, supraclavicular flaps were raised on both sides. The right flap measured 14cm × 7cm and the left flap measured 16cm × 14cm. Using the standard procedure, the defect was resurfaced with the right flap positioned cranially and the left flap placed caudally. The distal 2-3cm of the upper (right) flap necrosed [] but could be covered with a split skin graft. The cervico-mental definition was achieved and neck extension up to 150 degrees was seen [].