In this only a small surface is left to granulate over, while in the following the parts are entirely covered. The excision and incisions are shown in [Fig. 77], and the method of approximation and suturing in [Fig. 78].

Fig. 77.

Triangular Excision.

Fig. 78.

Coaptation of Flaps.

In covering a square area considerable twisting must be resorted to, as shown in [Figs. 79 and 80], leaving a portion to granulate.