title: Modified Burow's wedge flap for upper lateral lip defects.
abstract: BACKGROUND
  There are fundamental concepts we use in managing surgical defects. Whether planning a primary closure or a local flap, we frequently modify the basic design to maximize aesthetic outcomes, taking into consideration a number of factors including the location of the defect and tissue availability.
  
  
  OBJECTIVE
  We describe a modified Burow's wedge flap for upper lateral lip defects.
  
  
  METHODS
  Report of an illustrated case.
  
  
  RESULTS
  A patient with an upper lip defect was successfully reconstructed using the modified Burow's wedge flap, where the Burrow's wedge is placed on the mucocutaneous lip.
  
  
  CONCLUSIONS
  Certain modifications of commonly used reconstructive techniques can be utilized in specific situations to enhance cosmesis. For the Burow's wedge flap, the dermatologic surgeon has several options in placing the Burow's triangle. This is an example of how alternatives in a closure can be used depending on the laxity of the skin and the size of the defect. Advantages and disadvantages of this alternative placement of the Burow's triangle are discussed.
authors.affiliation: Skin and Laser Surgery Center of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: M
authors.initials: M
authors.lastname: Dang
authors.forename: S S
authors.initials: SS
authors.lastname: Greenbaum
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D005148:Facial Dermatoses / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000601:surgery*; D008048:Lip Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D015580:Mohs Surgery; D013524:Surgical Flaps