This case is from LeQuang's original series, and is used by courtesy of Dr. C. LeQuang.
FIG. 7-01. The BIEF is used to reconstruct a large bilateral facial burn scar.
FIG. 7-02. Superficial inferior epigastric pedicles have been outlined on the abdomen and the flap elevated.
FIG. 7-03. The flap is isolated on the bilateral pedicles.
FIG. 7-04. The postoperative result shows markedly improved soft tissue coverage.
FIG. 7-05. Moderate hairy growth, though curly, further camouflages the transplant.
FIG. 7-06. The donor site scars are well hidden along the inguinal creases.
A woman had severe burn scar contractures of the neck, chin, and lower lip.
FIG. 7-07. The contractures persist after multiple previous skin grafts and releases.
FIG. 7-08. The lateral view emphasizes the deformity.
FIG. 7-09. The dimensions of excision are measured before marking the abdomen.
FIG. 7-10. The BIEF is outlined, with the superficial epigastric pedicles marked.
FIG. 7-11. The flap is elevated superficial to the external oblique fascia. The paired vascular pedicles are exposed.
FIG. 7-12. The recipient site after release of the neck and lip contractures.
FIG. 7-13. The flap above the neck defect. The superior thyroid vessels were used for bilateral recipient blood supply.
FIG. 7-14. Immediate postoperative appearance.
FIG. 7-15. Follow-up results after successful revascularization. Front view.
FIG. 7-16. Lateral view.
FIG. 7-17. Late follow-up after serial debulking with liposuction. Lateral scar z-plasties and a chin implant have helped the final appearance. Front view.