Objective: To report the application of the parascapular free flap extending to the inframammary fold.
Methods: The longitudinal axis of the free flap lay curvilinearly from the inframammary fold to the circumflex scapular artery at the trilateral foramen. The largest flap was 32 cm x 11 cm.
Results: The flap was successfully used in 4 female patients to repair their facial and cervical burn scar. All the flaps survived well.
Conclusions: The parascapular free flap extending to the inframammary fold enlarged the range of the flap application. The donor-site scar of the flap is well hidden within the inframammary fold. Thus the unavoidable widening and hypertrophy of the donor-site scar of the traditional-designed parascapular or scapular flap were minimized. This flap will apply to male patients also.