The flap size dimension was reported in 13 papers [
4-
16] and ranged from 70 to 240 cm
2 (mean flap area, 140 cm
2); it was not available in two cases [
3,
17]. The initial flap thickness was unavailable in all of the papers [
3-
17]. The reported flap thickness following defatting ranged from 0.5 to 2.8 cm (mean flap thickness, 0.64 cm) [
4,
5,
10-
17] and was not available in 5 papers [
3,
6-
9]. Musculocutaneous perforators were used in all the cases during flap rising, but the type of perforator was not available in 2 papers [
3,
6]. ALT flaps were transferred as free flaps in 14 papers [
4-
9,
11-
17], with the exception of Wang and co-workers, who harvested pedicled ALT flaps for knee defects [
10]. All authors performed defatting using dissecting scissors before pedicle ligation to achieve proper haemostasis [
4-
8,
10-
17], but the defatting technique was not available in 3 cases [
3,
6,
9]. Thinning-related complications were reported in two papers and consisted of 2 cases of partial liponecrosis that did not require further revision [
12,
13]. A total of 175 adipofascial ALT flaps were harvested for head and neck reconstruction [
3,
5-
17]: 127 flaps were used for monolateral [
6-
9,
12,
13,
15] or bilateral [
3] facial atrophy correction, 37 flaps were used to repair post-oncologic defects of the head and neck [
17], and 11 flaps were harvested to repair intraoral defects [
5,
16]. Eleven flaps were harvested for lower limb reconstruction as free [
4] or pedicled [
10] flaps, and 5 flaps were used for upper limb reconstruction [
4]. It was not possible to deduce the number of flaps according to the anatomical area in one case [
15]. Direct donor site closure was achieved in all the cases [
3-
17]. Secondary flap debulking was required in 10 papers and was performed through liposuction [
3,
7-
9,
11-
13,
15,
17], skin grafting [
4], and surgical revision [
6,
8,
17]. The authors performing liposuction or revision waited at least 6 months after the primary operation [
3,
7-
9,
11-
13,
15,
17], while skin grafting was performed earlier after ALT harvesting [
4]. Flap re-suspension was performed in 3 papers, and in all three papers, debulking and suspension were performed simultaneously [
8,
12,
13].