Poorly perfused skin flaps are not clinically apparent until hours after surgery, at which point, they are more difficult to salvage and have more complications. The Kent Imaging device can detect perfusion problems in skin flaps earlier, allowing clinicians to intervene sooner and reduce complications. The Kent technology can provide images of deoxygenated hemoglobin, oxygenated hemoglobin, and total hemoglobin in addition to the resultant StO2 images. These tools combined can help distinguish between arterial or venous insufficiency and guide the surgeon to corrective measures while in the operating room. Ultimately, determining a skin flap has limited blood supply earlier may lead to less patient suffering and reduced healthcare costs.