Arterialized venous flaps are the result of the search for new flap te
chniques because conventional flaps are sometimes insufficient and hav
e donor-site morbidity problems. In the patient presented here, a free
arterialized venous flap measuring 12 x 8 cm was transferred from the
forearm to a burn-scarred area on the face. This flap contained two p
arallel main veins, one was arterialized for perfusion and one was for
the venous drainage. The flap we have designed is advantageous in tha
t it is not bulky, it has less donor-site morbidity, it does not sacri
fice one major artery, and it uses the rich venous network of the fore
arm. The operative and postoperative results are satisfactory.