Malignant tumors are relatively common on the dorsum of the hand. Excision of such lesions may result in a large defect not suitable for direct closure, and its reconstruction often represents a challenge for the hand surgeon. Several reconstructive techniques can be used to close this defect. We herein describe the application of a rotation flap for closure of a defect on the dorsum of the hand secondary to excision of a keratoacanthoma, and explain the principles and advantages of this technique.

Keywords: HAND, SURGICAL FLAPS

W-plasty is a commonly used technique in facial cosmetic surgery to camouflage the straight line of a scar into a regularly irregular pattern. It consists of excising a series of consecutive small triangles of skin on each side of the scar, and imbricating the resultant triangular flaps, producing a "zig-zag" effect. This procedure is particularly useful on long, wide, curved, contracted, or anti-tension line scars of the forehead, cheeks, chin, and nose. We report the usefulness of this technique in an unaesthetic postsurgical facial scar.

Keywords: CICATRIX; DERMATOLOGIC SURGICAL PROCEDURES; SURGICAL FLAPS; RECONSTRUCTIVE SURGICAL PROCEDURES