Abstract: - Axillary reconstruction is very important. As the shoulder joint has a very wide range of motion, any axillary contractures restrict its various movements. The choice of reconstruction should have a special criterion to achieve full range of motion, due to wide range of shoulder abduction. Objective: -To evaluate perforator-based propeller flap in reconstruction of the axilla regarding functional and aesthetic consideration. Patients and methods: Twenty patients with axillary defects were reconstructed by perforator- based propeller flap in the plastic surgery department, Beni-Suef University, in the period between February 2018 till August 2021. The study included 14 males and 6 females with the age range between 14 - 50 ys. Eighteen patients with unilateral reconstructed axillae and two patients with bilateral reconstructed axillae. Twelve patients had hidradenitis suppurativa, 5 patients had grade III burn scar contracture, and 3 patients had a post-traumatic defect. 13 patients were reconstructed immediately, and 7 patients were delayed for 2 weeks; these patients were suffering from hidradenitis suppurativa after excision of the lesion, waiting until edema and inflammation completely subsided.