Anatomic basis for flap thinning

Seong Oh Park, Hak Chang, Nobuaki Imanishi

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Flap thinning is a procedure for making a thick flap thinner. This procedure does more than simply fill in the defected area, and it is better for reconstructing the area both functionally and aesthetically. However, because flap thinning is a rather blind procedure, it may have harmful effects on flap vascularity. Therefore, the vasculature of a flap must be understood before performing flap thinning. This paper analyzes the basic anatomy underlying flap thinning based on the previous anatomic study that categorized flaps into 6 types by their vascular structures. This paper also reviews specific studies of frequently practiced flap procedures (deep inferior epigastric artery perforator flap, thoracodorsal artery perforator flap, and anterolateral thigh flap) and presents important precautions for flap thinning procedures. Finally, this paper briefly examines the axiality of the subdermal plexus, which needs to be taken into account when performing flap thinning.

Original languageEnglish
Pages (from-to)298-303
Number of pages6
JournalArchives of Plastic Surgery
Issue number4
Publication statusPublished - 2018 Jul


  • Flap anatomy
  • Flap thinning
  • Thin flap

ASJC Scopus subject areas

  • Surgery


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