A 38-year-old female with a cervicomental contracture on the left side of the neck [] was given the option of release with split skin grafting or expansion of the left supraclavicular area. After due considerations she opted for the latter. A 15cm × 6cm × 5.5cm rectangular 500 cc tissue expander was placed beneath the left supraclavicular area and expanded to 750 cc. An expanded flap measuring 18cm × 15cm was used to resurface the final defect [].\nHer post-operative recovery was uneventful. She later developed a contracture band at the medial inset that was not part of the original contracture but had developed as a result of straight line closure. This was released with Z-plasty under local anesthesia. At the 20-month follow-up visit, this patient had good color, texture match, and neck extension of more than 150 degrees [Figures and ].
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.