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We report a case of total aesthetic subunit reconstruction of the anterior abdominal skin using a pre\u2010expanded pedicled anterolateral thigh (ALT) perforator flap in a patient with postburn contractures. Seventeen\u2010year\u2010old girl had a history of scalding burn to the anterior abdomen, resulting in tight contractures inhibiting her mobility. After an expansion period of 6 months, the flap of 27\u2009\u00d7\u200930\u2009cm was elevated at the suprafascial plane and tunneled to the anterior abdomen. The flap was used to resurface the defect from xyphoid process down to the mons pubis and bilaterally at linea semilunaris. Postoperative course was uneventful. A good quality aesthetic and functional reconstruction was achieved at the 10\u2010year follow\u2010up. Pre\u2010expanded pedicled ALT flaps may be considered as an option in extensive scarring requiring large amounts of tissue.<\/jats:p>","DOI":"10.1002\/micr.30519","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T14:47:03Z","timestamp":1571323623000},"page":"753-757","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Total aesthetic subunit reconstruction of the burned anterior abdomen using pre\u2010expanded pedicled anterolateral thigh flap\u2014A case report"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1484-5496","authenticated-orcid":false,"given":"Tahsin Oguz","family":"Acarturk","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery University of Pittsburgh  Pittsburgh 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