The goal of this clinical trial is to optimize the design of lateral arm flap. Colored duplex will be done for all Participants and compared to intra operative findings. flap modification (Supra facial) dissection to lateral arm flap will be done and the results will compared to the ordinary method of dissection.
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numbers of perforators
Timeframe: two years
site of perforators
Timeframe: two years
Size of perforators
Timeframe: two years