title: Rotation Flaps-Principles and Locations.
abstract: 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.
authors.affiliation: *Department of Dermatology, Henry Ford Health System, Detroit, Michigan; †Dermatology Specialists of Canton, Shelby, Brighton, Michigan; ‡Facial Plastica and Dermatology, The Toledo Clinic Inc, Toledo, Ohio.
authors.forename: Matteo C
authors.initials: MC
authors.lastname: LoPiccolo
mesh_terms: D062109:Dermatologic Surgical Procedures / Q000379:methods*; D019317:Evidence-Based Medicine; D005153:Facial Neoplasms / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic; D012399:Rotation; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome