Propeller perforator flaps supplied by branches from the transverse cervical artery allow transport of skin from the back region to supraclavicular defects. This article describes a soft tissue defect following resection of melanoma metastasis that was successfully reconstructed using a propeller flap based on a perforator originating from the anterior part of the cranial trapezius muscle. This technique should be considered as an alternative to commonly used muscle or myocutanous flaps in selected cases.