In recent years, the use of perforator flaps in reconstructive surgery, which is based on their blood supply specifically on subcutaneous tissue and or specific perforators, has become increasingly popular1 . A few years back, Plastic and Reconstructive Surgeons were fascinated by the ability to harvest skin and adipofascial flap, along with the underlying tissue or muscle. The latter was considered an essential source of vascular supply at that time2,3. However, the strategy to reduce donor site morbidity has driven the surgeons towards game-changing perforator flaps. Which in turn facilitates the harvest of cutaneous and adipofascial tissue without the necessity to include underlying tissue or muscle4 . The perforator flap can be modified to harvest as a local flap or free flap but for a better resurfacing and extend of use it can be rotated – which is called a ‘Propeller Flap’2,5.