**8. Donor site management**

The profunda artery perforator flap harvests no muscle and therefore has minimal donor site morbidity. However, the location is in a dynamic area of the lower extremity and is prone to tensional forces and edema. For these reasons, the donor site needs to be managed appropriately. Limited undermining of skin flaps helps facilitate a tension-free closure while preventing seroma formation. A closed suction drain is always used. Quilting sutures are beneficial and involves suturing the superficial fascia to the deep fascia. Compression garments or ACE wraps are used.
