We present a selected group of patients (18) who underwent excision of
various malignant skin lesions in the leg, and had the defect resurfa
ced with V-Y advancement flaps. The mobility and reliability of this t
ype of flap was enhanced by raising it as a fasciocutaneous flap based
on one or two leg perforators. As patients were mobilised as soon as
they recovered from the operation, there was minimal postoperative mor
bidity. This type of flap has the added advantage of leaving no signif
icant donor defect and therefore better cosmesis.