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 [].
A 38-year-old female presented to us with a soft-tissue tumour of the right infraclavicular region that measured 6cm × 6cm []. There was no involvement of the underlying muscles. We resurfaced this defect using a supraclavicular flap measuring 8cm × 8cm and closed the donor defect primarily []. At the 3-month follow-up visit, the flap was completely settled and had blended well with the surrounding skin [Figures and ].