The use of the 'de-epithelialized' scapular flap for soft tissue augmentation--a case report.

For the augmentation of maxillo-facial soft tissue deficiencies, microsurgical 'pure' fat transplants have proven effective. In this paper, we present the 'de-epithelialized' scapular flap and discuss its significance in comparison with other microvascular fat transfers. Consistency of transplant vessels and minimal dependence of volume on the overall nutritional condition are its specific advantages. The transplant can be securely fixed at the retained corium.