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The abdominal skin, effectively expanded by the expander, repairs the scar deformity. Following the water injection expansion, reaching 18 times the expander's rated capacity within a month allows for the designation of a phase operation node. Through modified computed tomography angiography (CTA), preoperative whole perforator evaluation and the intraoperative eccentric design of the anterolateral thigh flap (ALTF) regarding superficial fascial perforators were investigated,