ZPlasty Figure

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Z-plasty is used as follows to treat vertical scars.

• The lid is placed on traction using a mattress stitch over tarsorrhaphy tubing.

• The scar is marked along its length.

• The upper and lower limbs of the Z are marked.

• A single Z can be converted to multiple Zs.

• The skin flaps are raised and reflected on skin hooks.

• Underlying cicatrix is excised and haemostasis obtained.

• The flaps are transposed and sutured in place "A-stitches" are useful at the apices of the flaps (Figure 2.3).

• The lid is placed on traction.

• Pressure dressings are applied for 48 hours.

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