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Double rotation flap to repair two cheek defects in close proximity.

© 2005 by the American Society for Dermatologic Surgery, Inc. • Published by BC Decker Inc ISSN: 1076–0512 • Dermatol Surg 2005;31:1717–1719. A 65-YEAR-OLD man was referred for Mohs micrographic surgery of two basal cell carcinomas on the left cheek. Both the superior and the inferior sites were free of tumor after two stages. The superior basal cell carcinoma resulted in a defect measuring 2.2 1.1 cm. The inferior basal cell carcinoma left a resultant defect of 2.4 1.1 cm (Figure 1). How would you reconstruct this surgical defect?