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.
A 19-year-old female with a post-burn scar over the right lateral side of the neck underwent resurfacing using a right supraclavicular flap measuring 8cm × 6cm. The distal 1–2cm of the flap necrosed but we could advance the rest of the flap to cover the defect []; however, the result was suboptimal aesthetically.