Fig. 9

Induction of secondary ischemia (SI). A BEFAF appearance after REP₁. B Flap preparation for selective vessel clamping. C Inspection of blood flow restoration in the pedicle prior SI. D SIEV clamping. E BEFAF appearance after selective SIEA (AO) or SIEV (VO) vessel occlusion. F B_AO and B_VO biopsy excision. G Final flap closure