Z-plasty

Z-plasty is a type of plastic surgery procedure that is used to improve the functional and cosmetic appearance of scars. It can elongate a contracted scar or rotate the tension line of the scar. This procedure can also be used to cover a defect in a critical area with minimal distortion of the surrounding tissues.

Procedure

The Z-plasty procedure involves the creation of two flaps of equal length that are then transposed to form a Z shape. The central limb of the Z is made along the line of the scar. The two lateral limbs are usually at a 60 degree angle to the central limb, but this can be adjusted to redirect the scar into a more favorable alignment. The length and angle of each flap can be adjusted to meet the needs of the individual patient.

Uses

Z-plasty is used in a variety of surgical procedures. It is commonly used in scar revision to improve the appearance of scars. It can also be used to release contractures, such as those that occur after burns. In addition, Z-plasty can be used to reposition scars into the lines of skin tension, which can make them less noticeable.

Risks and Complications

As with any surgical procedure, there are risks associated with Z-plasty. These include infection, bleeding, and an adverse reaction to anesthesia. There is also the risk that the scar could become more noticeable or that the skin could become discolored or irregular. In some cases, additional surgery may be needed to correct these issues.

See Also

• Plastic Surgery
• Scar Revision
• Skin Grafting

References

• American Society of Plastic Surgeons
• American Board of Plastic Surgery