**Skin Flaps** * Tissue transferred from a donor site to a recipient site along with corresponding blood supply * Provide a better cosmetic result than skin grafting * Tone & texture better matched * Chance of failure in comparison to skin grafts * Possible venous congestion **Classifications:** Can be classified via their tissue type, blood supply or location **Blood Supply:** * **Axial Flaps** * From a recognized artery or group of arteries * Runs beneath the flaps longitudinal axis * **Random Flap** * Don't rely on specific artery or predictable vascular supply via a subdermal plexus * **Pedicled Flap** * Flap remains to their attached blood supply **Location:** **Local Flaps** * **Advancement flaps:** Skin moved directly forward to cover adjacent defect * **Rotation flap:** Skin rotated around a pivot point to cover adjacent defect * **Transposition flap:** Moves laterally (sideways) in relation to the pedicle (blood supply) to cover an adjacent area **Regional/Pedicled Flaps** * Harvested from same anatomical region but not directly adjacent to defect **Free/Distant Flaps** * Harvested from a completely different anatomical region