Rotation skin flaps: Step 6A (large photo)

Again place successive sutures in the center of the four defects that remain after the first three center sutures have been placed. If the flap is large and gaps still remain between sutures, place additional sutures as needed to close the gaps. This placement helps distribute skin and tension evenly along the suture line and, thus, helps prevent a dog-ear from developing at the base of the flap. Dog-ears are more common if the flap is sutured progressively from tip to base.

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Step 6B>

Introduction

Step 1

Step 2A

Step 2B

Step 3A

Step 3B

Step 4

Step 6A

Step 6B

Step 5

Step 7A

Step 7B

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