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.
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.