目的　报道脂肪剥离、吸脂加小切口一次性去脂整形治疗皮瓣术后臃肿的方法。  方法　2002年7月至2013年5月共112例患者，在我科接受脂肪剥离及吸脂加小切口一次性去除皮瓣内所有脂肪及筋膜组织。  结果　本组112例患者， 111例术后皮瓣血运良好，外观满意，感觉功能早期恢复。仅有1例皮瓣表层坏死，经换药后愈合。本组随访1～10年，无复发。   结论　脂肪剥离加吸脂结合小切口去脂治疗皮瓣术后臃肿临床疗效好，操作简单，安全性高，值得临床应用和推广。

Objective　To report the treatment of postoperative bulky flap with fat stripping,lipsuction,and little incision technique in one operation.　Methods　The study involved 112 patients with bulky flap by fat stripping, lipsuction, and small incision technique to remove all the fat and fascia on one effort from July 2002 to May 2013.　Results　111 patients achieved sufficient blood supply in flaps. The flaps had excellent contour and sensation with early function recovery. Only 1 flap sustained necrosis in surface. No patient got recurrence during 1～10 years of follow-up.　Conclusions　It has excellent clinical effect of treating bulky flap with fat stripping,lipsuction,and small incision technique. It also has the merits of easy operation,high security and thus is a surgeric method worthy of clinical use.