Technique for raising a kite flap from the dorsum of the proximal phalanx of the index and transferring to the dorsum of the thumb. The vascular pedicle comprises the first dorsal metacarpal artery (with the perivascular fat and adjacent part of the aponeurosis), one or two superficial veins, and the radial nerve branches.A: An extended island flap is designed on the ulnar side of the long finger with an identical defect pattern over the palmar aspect of the thumb. B: Mobilization of the island flap on its neurovascular pedicle and preparation of the recipient bed on the thumb. C: Completed transfer of the neurovascular island flap with a full-thickness skin graft on the donor area of the long finger.