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Rotation Flaps—Principles and Locations

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.