Objective. To optimize dissection of submental flap by inclusion of perforator vessels. Material and methods. Topographic and anatomical research enrolled 46 corpses. We studied perforators vessels and identified the most significant perforators originating from the anterior belly of digastric muscle. We confirmed the connection of these perforators with submental artery and afferent end of the facial artery that was the basis for the proposed technique. Results. Above-mentioned technique was applied in 12 patients. Through defects were repaired in 3 cases, correction of the defects of external integuments of the lower and middle third of the face — 7 cases, extensive defects combined with other flaps — 2 cases. Primary intention healing of the flap was noted in all patients. Conclusion. Inclusion of perforator vessels passing in anterior belly of digastric muscle into submental flap based on submental artery or afferent branch of facial artery is effective and determines the reliability of this applied technique.

Keywords. submental flap, facial reconstruction