Modified Burow's advancement flaps for two circular adjoining cutaneous defects: the "8"-to-"S"-plasty

The traditional method to close two closely approximated cutaneous defects (i.e., a figure "8"-shaped defect) sacrifices healthy skin and does not give optimal aesthetic results. We report a case with modified Burow's advancement flaps describing less sacrificed skin and shorter scars. Modified Burow's advancement flaps ("8"-to-"S" plasty) were applied, sparing two Burow skin triangles. Application of that modified operation technique leads to shorter scars in comparison to traditional Burow's advancement flaps. A modified technique is presented here for skin defects shaped like an "8"--namely, two similar round and adjoining lesions. The suture line after closing resembles an "S". With this 8-to-S plasty no additional incisions are necessary.