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Theisen et al. Plast Aesthet Res 2020;7:56 I http://dx.doi.org/10.20517/2347-9264.2020.83 Page 5 of 13

Figure 3. Intraoperative photograph showing abdominal and/or escutcheon skin flap approximated directly to the base of the penis

Figure 4. Post-operative images showing a divot or “moat” at the base of the penis

while also eliminating the need to approximate skin flaps to the base of the penis. Variations of the skin-
bridge have been previously described to improve contour and limit dog-ears in the mons region . A
[27]
critical step is to prevent a “moat”, which is in the invagination of the proximal edge of the skin graft at