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Scar and defect in the lower face always lead to serious facial deformity and asymmetry.Conventional method such as skin graft or free flap is hard to obtain a satisfactory outcome.In this article, we present a skin expanding technique.A expanded flap was designed to repair the lower face scar or defect on submental and submandibular regions.A tissue expander was implanted into the region and inflated for 2 to 3 months.After removing the expander, we harvested the flap as a rotation flap to repair the lower facial defect.The longest follow-up period was 3 years.All of the flaps were well matched to the surrounding skin with respect to color, texture, and thickness.A expanded flap on submental and submandibular regions is suitable to repair a lower face defect.