The ideal skin-flap reconstruction provides functional preservation and a good cosmetic
outcome in both the reconstructed site and the donor site. Although various flaps are used
for reconstruction of the vulvar and buttock region, there are disadvantages associated with
each. In 1996, Yii and Niranjan reported the gluteal-fold flap for vulvar reconstruction. As
presently used, this flap is bulky, particularly in obese patients or when used for hemilateral
reconstruction. Thinning the flap has been considered impossible because of the obscurity …