Burow’s triangle advancement flaps for excision of two closely approximated skin lesions

The simplest way to remove a cutaneous lesion is with the elliptical excision, because it is quicker and easier and it leaves a smaller wound than any other technique. When two lesions are too near to one another to be excised with an elliptical incision because of the resulting excessive tension, it is possible to use two Burow’s triangle advancement flaps (1,2). This technique can be considered to be a variant of the single Burow’s triangle flap in which the secondary triangle (the so-called Burow’s wedge) contains one of the lesions (3-5).