Reconstruction of a Major Facial Defect with Multiple Z-Plasty Dermatologic Surgery Article

  • Mariana Batista Interno de Dermatovenereologia, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal https://orcid.org/0000-0003-3442-615X
  • Luís Santiago Interno de Dermatovenereologia, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal
  • André Pinho Assistente Hospitalar de Dermatologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal https://orcid.org/0000-0001-6433-311X
  • Ana Brinca Assistente Hospitalar de Dermatologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra; Assistente Convidada da Faculdade de Medicina da Universidade de Coimbra. Portugal https://orcid.org/0000-0002-7539-9912
  • Ricardo Vieira Assistente Graduado de Dermatovenereologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra; Professor Associado da Faculdade de Medicina da Universidade de Coimbra. Portugal
Keywords: Cicatrix/surgery, Dermatologic Surgical Procedures, Face/surgery, Reconstructive Surgical Procedures, Surgical Flaps

Abstract

Z-plasty is a surgical technique classically used to correct scars. It consists of a double transposition of two or more adjacent triangular-shaped flaps resulting in a Z-shaped scar. This procedure is especially advantageous when the surgical incision is not parallel to the skin tension lines as it allows repositioning of the tension vectors, tending to a more favorable cosmetic result and preventing scar retractions. We present the case of a young woman with a left supraciliary basal cell carcinoma whose excision resulted in an extensive surgical defect which was reconstructed using a multiple Z-patch. The authors describe the surgical technique as well as its main advantages and applicability.

 

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Published
2020-05-06
How to Cite
Batista, M., Santiago, L., Pinho, A., Brinca, A., & Vieira, R. (2020). Reconstruction of a Major Facial Defect with Multiple Z-Plasty Dermatologic Surgery Article. Journal of the Portuguese Society of Dermatology and Venereology, 78(1), 79-82. https://doi.org/10.29021/spdv.78.1.1147
Section
Surgical Pearls