case_images: PMC5921446_01
case_images: Triple rotation planned with wide excision of tumor
case_images: JCAS-11-26-g001.jpg
case_images: PMC5921446_01_JCAS-11-26-g001.jpg
case_images: F1
case_images: Lesion was excised with inclusion of 1-cm margin of clinically normal tissue [Figure 1].
case_images: Primary defect formed after excision along with three flaps being raised around the defect
case_images: JCAS-11-26-g002.jpg
case_images: PMC5921446_01_JCAS-11-26-g002.jpg
case_images: F2
case_images: Around the primary defect, three flaps were raised by marking an arc around the defect, length of the arc being 1.5 times the diameter of the defect and the angle of the arc was 30 -50  [Figure 2].
case_images: Three flaps rotated into the defect with three secondary defects formed
case_images: JCAS-11-26-g003.jpg
case_images: PMC5921446_01_JCAS-11-26-g003.jpg
case_images: F3
case_images: With good undermining, the three arcs were rotated into the defect and sutured at the center subdermally with Vicryl 3-0 (Ethicon, Somerville, New Jersey) [Figure 3].
case_images: Three flaps being closed in a fan-shaped pattern
case_images: JCAS-11-26-g004.jpg
case_images: PMC5921446_01_JCAS-11-26-g004.jpg
case_images: F4
case_images: The three secondary defects were closed using Prolene 3-0 (Ethicon, Somerville, New Jersey) so that the suture line resembled a fan-shaped pattern [Figure 4].