The presence of a consistent subcutaneous vascular plexus allows carry
ing of a distal skin island safely on the iliotibial tract. A distal s
kin island can be designed on the lateral thigh and can be raised on a
subcutaneous pedicle that is proximally supplied by the lateral femor
al circumflex artery. This technique preserves the lateral thigh skin
and employs subcutaneous tunneling to overcome the traditional drawbac
ks of the conventional extended tensor fascia lata flap. The subcutane
ous pedicle tensor fascia lata nap's sensate potential, thin skin, dur
able fascia, extensive reach, and 360 degree are of rotation make it a
n appealing donor site for coverage of lower midsection and pelvic def
ects or for penile reconstruction.