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Published on: December 5, 2025
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Extemporaneous transposition flap for closing two contiguous surgical excision
Paolo Boggio1, Federica Veronese2, Benedetta Miglino1
1Unit of Dermatology, Eastern Piedmont University, Maggiore della Carità Hospital, Novara, Italy.
Summary
This study introduces a surgical technique for removing two adjacent skin lesions with a single flap, resulting in no visible scar. It offers an aesthetic alternative to traditional rhomboid excision methods.
Area of Science:
- Dermatology
- Plastic Surgery
- Surgical Techniques
Background:
- Standard surgical excision of contiguous cutaneous lesions can lead to unfavorable aesthetic outcomes.
- Rhomboid excision, while common, may not always yield optimal cosmetic results for certain lesion configurations.
Observation:
- A novel surgical procedure utilizing a single transposition flap and suture line was developed.
- This technique addresses the challenge of excising two adjacent skin lesions effectively.
Findings:
- The described method allows for the complete removal of two contiguous cutaneous lesions.
- The procedure results in a single suture line, minimizing visible scarring and enhancing aesthetic results.
Implications:
- This technique provides a valuable alternative for plastic surgeons managing cutaneous lesions where traditional methods are suboptimal.
- It offers improved cosmetic outcomes for patients undergoing skin lesion removal, particularly in aesthetically sensitive areas.
- The single transposition flap and suture line approach represents an advancement in scarless skin lesion excision.

