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 [].
An 18 year-old female presented with a post-burn scar over her left cheek. We expanded her left supraclavicular area with a cylindrical expander to resurface the cheek scar. Though the expander migrated beyond the shoulder cap region in the post-insertion period, we went ahead with the surgery. A flap measuring 10cm × 6cm was harvested. The flap did not bleed well on the table and showed ischemic changes immediately after the operation. We lost the flap in its entirety. The resulting defect was later covered with a split-thickness skin graft.