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Z-plastic

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Z-plasty

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HistoryThis section has been translated automatically.

Limberg, 1929

DefinitionThis section has been translated automatically.

Exchange of triangular skin lobes against each other to extend the central excision axis or to change the direction of an unfavourable scar course.

General informationThis section has been translated automatically.

  • Incisions are made on both sides of the long wound axis at an angle of 30-60°, with the lateral legs being the same length as the middle axial incision. The triangular skin areas are undermined and sutured in place. At 60° angles the extension is 75%, at 30° angles 25%. The longer the middle leg of the Z incision is, the longer the lateral incisions must be. If there is not enough skin available, Z-plasty can also be performed serially in isolation or continuously.
  • Indications: unfavourable scar progression, e.g. against the skin relaxation lines or the direction of wrinkles, scar strands or bulges, scar contractures.

LiteratureThis section has been translated automatically.

  1. Holle J (1994) Plastic surgery. Hippocrates, Stuttgart
  2. Kaufmann R, Podda M, Landes E (2005) Dermatological operations. Colour atlas and textbook on skin surgery. Thieme, Stuttgart New York
  3. Limberg AA (1929) Skinplastic with shifting triangular flaps. Leningrad Trauma Inst 8: 62
  4. McGregor IA (1957) The theoretical basis of the Z-plasty. Brit J Plast Surg 9: 256

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer