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Updated: Apr 1, 2026

Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Rotation Flaps-Principles and Locations
1*Department of Dermatology, Henry Ford Health System, Detroit, Michigan; †Dermatology Specialists of Canton, Shelby, Brighton, Michigan; ‡Facial Plastica and Dermatology, The Toledo Clinic Inc, Toledo, Ohio.
Background:
The rotation flap is a classic method of tissue rearrangement. It is a simple yet effective tool for recruiting tissue from areas of laxity and redirecting vectors of tension to reconstruct wounds not amenable to primary closure.
Objective:
This article presents the basic design principles and specific applications of the rotation flap in dermatologic surgery.
Methods:
A Medline search of articles describing rotation flaps published prior to April 1, 2015 was performed, and several prominent texts in dermatologic surgery were reviewed.
Results:
Information gathered from the above sources is combined with the clinical experience of the author and editors to present surgeons with a guide for planning and executing various rotation flaps.
Conclusions:
Mastering the technique of the rotation flap will allow a surgeon to repair a wide variety of cutaneous defects.
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