The hungry caterpillar flap: A variant of the V-to-Y island pedicle flap

Subcutaneous and myocutaneous island pedicle flaps are versatile closure options that are able to close large surgical defects with robust vascular supply.1 However, one of the shortcomings of these closures is the formation of triangular scars. Straight lines are visually arresting and the triangular scars created by island pedicle flaps can be distinctly conspicuous.