Aesthetic and functional considerations in the reconstruction of large skin defects with free flaps

Free flaps can be used effectively in the primary reconstruction of large defects after resection of large tumors. The ultimate goal of this treatment is radical excision of tumors and achievement of primary wound healing with a single procedure and long-term local control of disease. Although this can be obtained with the use of free tissue transfer, patients often seek more aesthetic results. Therefore, refinements of reconstructive techniques with minimal functional donor site morbidity are now the gold standard.