ZPlasty

The Scar Solution Natural Scar Removal

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The Z-plasty is used to relieve tension on tissues that have been distorted by a contracted scar (Fig. 2.15). This technique can also disperse and redirect wounds that cross RSTLs at right angles, in which case a multiple Z-plasty can also be used (Fig. 2.16) (Jackson 1985 a).

Multiple Plasty Technique

Fig. 2.16 Multiple Z-plasty.

a The scar is excised, and the long scar is dispersed into multiple Z's that more closely follow the RSTLs. b Transposing the flaps lengthens the tissue in the direction of the scar and disperses the scar into multiple smaller flaps (see Wound Management and Scar Revision, p. 5).

Fig. 2.16 Multiple Z-plasty.

a The scar is excised, and the long scar is dispersed into multiple Z's that more closely follow the RSTLs. b Transposing the flaps lengthens the tissue in the direction of the scar and disperses the scar into multiple smaller flaps (see Wound Management and Scar Revision, p. 5).

Design Rhomboid Suture

Fig. 2.17a Rhomboid defect repaired by a Z-plasty using the technique of Pate et al. (1991). b Closure of the defect.

Plastic Surgery Plasty

Fig. 2.18a, b Z-plasty for the closure of small circular defects.

Fig. 2.17a Rhomboid defect repaired by a Z-plasty using the technique of Pate et al. (1991). b Closure of the defect.

Fig. 2.18a, b Z-plasty for the closure of small circular defects.

Fig. 2.19 Weerda suture microscissors with micro-cutting edge (K. Storz, Tuttlingen, Germany).

Numerous variations of the Z-plasty are available for repairing defects of varying size (Figs. 2.8d, 2.17, and 2.18). These techniques require a high degree of flap mobility (Cummings et al. 1986).

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