The skin on the anterior neckNeck is thin and flexible as a result of its functional characteristics, and extensive scarring and contracture are likely to occur after severe burns to this area. In cases of severe burn-related cervical contracture, the deformity may involve not only the neckNeck but also the lower lip, torso, and anterior chestAnterior chest. Treatment of cervical scar contracture aims to improve both function and cosmetics. When there is scar contracture after extensive neckNeck burns, it is important to replace the skin with the widest and thinnest possible skin flap to reconstruct a cosmetically acceptable submentocervical angle. By including the vascular pedicles of the groin flap on both right and left sides and placing the center of the flap in the midline of the inferior abdominal region, we have developed an extensive flap of sufficient range to allow primary closure of the donor site. This chapter provides a detailed explanation of our so-called “bipedicled thin groin flap” technique for anterior neck reconstruction.