Fig. 18.

Figs. 18-A, 18-B, and 18-C A patient managed with an ALT flap, showing that long-term cosmetic outcome can be very good even without revision. This patient presented following substantial lower-extremity trauma (Fig. 18-A) and had an excellent cosmetic outcome at short-term (Fig. 18-B) and long-term (Fig. 18-C) follow-up, without any subsequent revisions.