Immediate vulvar and vaginal reconstruction using the gluteal-fold flap: long-term results  R Ragoowansi, N Yii, N Niranjan  British Journal of Plastic Surgery  Volume 57, Issue 5, Pages 406-410 (July 2004) DOI: 10.1016/j.bjps.2004.02.022

Figure 1 (a) A 65-year-old patient has undergone bilateral vulvectomy for carcinoma. (b) The right gluteal-fold flap is raised based from lateral to medial and based on the most medial perforator. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)

Figure 2 Bilateral flaps are inset into the defect. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)

Figure 3 Aesthetic result of the reconstruction 10 months after the operation. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)

Figure 4 Aesthetic result of the donor site 12 months after the operation. The scars are well-hidden in the gluteal creases. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)

Figure 5 Aesthetic result at 4 months after a bilateral vulvar reconstruction. These flaps were raised supra-fascially and are less bulky and well-contoured. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)

Figure 6 Aesthetic result at 6 months of the posterior vaginal wall reconstruction carried out with a left-sided gluteal-fold flap. The perineal wound was closed primarily. British Journal of Plastic Surgery 2004 57, 406-410DOI: (10.1016/j.bjps.2004.02.022)