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

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Step 2: Drawing
Pre-operative drawing of a double Z-plasty for smoothing the surface

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Step 3: Incision
The flaps are about to be transpositioned

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Step 4: Transposition
Transposition of one of the flaps

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Step 5: Post transposition
Alle flaps have been transpositioned, leveling the skin surface and creating the classic Z shape

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Step 6: Closure
Closure of skin with nylon sutures