 The flap was elevated with a scalpel and Bovie, rotated into the defect without tension, ***** to the defect with scissors and inset in layer with interrupted 5-0 Vicryl for the dermis and running 5-0 Prolene for the skin. 
The flap was elevated with a scalpel and Bovie , rotated into the defect without tension , * * * * * to the defect with scissors and inset in layer with interrupted 5 - 0 Vicryl for the dermis and running 5 - 0 Prolene for the skin .