Evolution of cervicofacial flaps: From classical reconstruction to Freestyle Multiperforator Island Flap

The FMIF offers a safe, versatile, and cost-conscious option for facial reconstruction, providing reliable perfusion and minimal donor-site morbidity through its adaptable pedicle design. Although early outcomes are favorable, the absence of a control group limits definitive conclusions. Future comparative and anatomical studies are required to validate its vascular basis, safety, and role alongside established reconstructive techniques.