Introduction:

The jigsaw puzzle advancement flap is generally used in the closure of nasal surgical defects, especially in the alar region. However, others facial and extra facial locations are able to be contemplated.

Case report:

Three patients were submitted to wide excision of squamous cell carcinoma located in the upper (two cases) and lower (one case) limb, followed by jigsaw puzzle advancement flap. Good functional and aesthetic results were achieved in all cases.

Discussion:

Jigsaw puzzle advancement flap may be used in the reconstruction of small, medium and large facial and extra facial defects. The aesthetic and functional results are as good as in others classic surgical techniques.

Conclusion:

The results achieved with these three cases allow us to state that JPAF is a good surgical option for skin defects located on the limbs.

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