ABSTRACT
Rhomboid exeresis usually represents the easiest method for the removal of cutaneous lesions, but it is not always suitable either when best cosmetic results are desirable or when cutaneous resilience is lacking. In particular, in the case of two close lesions, a simultaneous double rhomboid excision often seems impossible to use. In such cases, an effective solution is offered by the Burow’s triangle advancement flap (1). However, in some regions, it is not always possible to find a triangular flap with a proper design either for the closeness to the natural orifices, or mismatching with wrinkle lines and cosmetic units, or for the irregular shape of emaculations. Thus, a good alternative solution can be the use of rotation or transposition flaps, which can be designed so as to obtain a single suture line, generally arcuate or curved.
