ABSTRACT
Island pedicle flaps (IPFs) (subcutaneous pedicle flap or kite flap) are random patterned flaps that gain their blood supply from subcutaneous tissue (1). These flaps are often useful in areas of high tension, areas adjacent or abutting cosmetically important structures, and areas requiring tissue sparing. IPFs are particularly useful in reconstructing defects in the perioral, perinasal, and periocular regions with minimal tension and little waste of tissue. Used in the proper setting, IPFs produce superior cosmetic results with minimal disruption of surrounding tissue. However, mobility can often be restricted by the secondary movement of surrounding tissue, immobility of the underlying fibromuscular pedicle, and anatomical barriers. Several modifications may be implemented to afford better movement and cosmetic results.
