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Facial Flaps

Z-Plasty Case 1 Z-Plasty

Authors: Liv Schöllhammer, MD, Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD

29 years old female with a scar following a trauma to her right cheek/mandible.

Scar correction with a double Z-plasty was performed to level out/smoothen the surface.

Before and after

1

Step 1: Pre-operative photo

Pre-operative scar

2

Step 2: Drawing

Pre-operative drawing of a double Z-plasty for smoothing the surface

3

Step 3: Incision

The flaps are about to be transpositioned

4

Step 4: Transposition

Transposition of one of the flaps

5

Step 5: Post transposition

Alle flaps have been transpositioned, leveling the skin surface and creating the classic Z shape

6

Step 6: Closure

Closure of skin with nylon sutures


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