Arch Aesthetic Plast Surg.  2018 Oct;24(3):149-152. 10.14730/aaps.2018.24.3.149.

Reconstruction of an Extensive Atrophic Scar in the Calf Using a Free Deep Inferior Epigastric Perforator Flap

• Ha NH
• Lee IJ

• KMID: 2437079
• DOI: http://doi.org/10.14730/aaps.2018.24.3.149

Abstract

Recently, increasing interest has emerged in contouring of the lower leg. Harmonious legs are considered one of the most important elements of women's beauty. Calf augmentation is routinely performed using silicone implants or autologous fat grafting. However, such surgical options may be unsuitable for some patients with specific medical conditions or preferences. Herein, we report a rare case of a 36-year-old woman who selected the use of a free deep inferior epigastric perforator (DIEP) flap to correct a left calf contour deformity caused by a previous gunshot injury. The free DIEP flap procedure was carried out successfully without any postoperative complications. Moreover, the patient obtained good aesthetic improvements and was satisfied with the outcome. We therefore recommend the free DIEP flap as an option for the correction of large and irregularly shaped atrophic scars in the lower leg, whether caused by injury, illness, or congenital conditions.

Keyword

Cicatrix; Free tissue flaps; Microsuugery; Perforator flap

MeSH Terms

Adult
Beauty
Cicatrix*
Congenital Abnormalities
Female
Free Tissue Flaps
Humans
Leg
Perforator Flap*
Postoperative Complications
Silicon
Silicones
Transplants
Silicon
Silicones