Editing Skin flap techniques (section)

== V-Y advancement island flap ==

* Excise lesion as circle, square or rectangle
* Flap will be a triangle 2-2.5x the length of the defeect
* Free the flap so it remains on the deep fascial pedicle, but dermis is incised ('island' flap)
* Advance the base of the flap to the far edge of the excision region
* Use three-point sutures at the two edges and the apex
* The stem of the Y should be about the same size as the original defect
* Suture the sides
* Thus the V island is converted to a Y-shaped scar