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

• Main Author: Batista, Mariana
• Publication Date: 2020
• Other Authors: Santiago, Luís, Pinho, André, Brinca, Ana, Vieira, Ricardo
• Format: Article
• Language: por
• Source: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Download full: https://doi.org/10.29021/spdv.78.1.1147
• topic: Cicatrix/surgery; Dermatologic Surgical Procedures; Face/surgery; Reconstructive Surgical Procedures; Surgical Flaps; Cicatriz/cirurgia; Face/cirurgia; Procedimentos Cirúrgicos Dermatológicos; Procedimentos Cirúrgicos Reconstrutivos; Retalhos Cirúrgicos

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.