The Vascular Supply to the Skin: An Anatomical and Physiological Reappraisal—Part I

We present a new concept of vascular anatomy, proposing that a complex subcutaneous vascular network, located between the dense and loose adipose tissue, connects the larger subcutaneous vessels, the vertical perforators, and the subdermal plexus. Knowledge of the location of these vessels helps determine optimal flap design and level of elevation. In this first of two articles, we describe the experimental portions of our study. The sequel describes the human experience and clinical implications.