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https://doi.org/10.4081/dr.2026.10671

Modifying double (bilateral) opposing rotation advancement flap for а problematic scalp lesion

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Published: 13 January 2026
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Dermatologic surgery, double opposing rotation flap, scalp defect reconstruction

Authors

Georgi Tchernev
Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Konstantin Georgiev Tchernev Jr
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Simona Kordeva
simonakordeva97@gmail.com
Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria.

A 74-year-old male presented to the dermatology department with primary complaints of a problematic tumor-like pigmented formation located on the vertex of the scalp. A clinical and dermatoscopical diagnosis of lentigo maligna was established, and surgical excision under local anesthesia was recommended.

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1. Tchernev G, Kordeva S. Dermatologic surgery rounds: double rotation (Yin-Yang) flap for reconstruction of a circular skin defect after BCC removal in the scalp region. Dermatol Reports [Internet]. 2025 [cited 2025 Oct. 15]. DOI: https://doi.org/10.4081/dr.2025.10420
2. Belmahi A, Oufkir A, Bron T, Ouezzani S. Reconstruction of cheek skin defects by the 'Yin-Yang' rotation of the Mustardé flap and the temporoparietal scalp. J Plast Reconstr Aesthet Surg 2009;62:506-9. DOI: https://doi.org/10.1016/j.bjps.2007.11.012

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1.
Tchernev G, Tchernev Jr KG, Kordeva S. Modifying double (bilateral) opposing rotation advancement flap for а problematic scalp lesion. Dermatol Reports [Internet]. 2026 Jan. 13 [cited 2026 May 24];. Available from: https://journals.pagepress.net/dr/article/view/10671
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