Z-Plasty

Line 1: Draw along the longitudinal scar axis
1. Measure the length of line 1
2. Line 1 runs from Point A to Point B
Line 2: Draw at 60 degrees from Point A
1. Should be exactly the length of Line 1 and 3
2. Line 2 runs from Point A to Point C
Line 3: Draw at 60 degrees from Point B
1. Should be exactly the length of Line 1 and 2
2. Line 2 runs from Point B to Point D
Completed 3 lines form a Z Shape
1. Line 1 forms the diagonal middle of the Z
2. Line 2 and Line 3 form the top and bottom of the Z
3. Line 2 and Line 3 run parallel to one another
Corners of Z form flap tips of 2 triangles
1. Flap tip E (top corner of Z at A end of Line 1)
2. Flap tip F (bottom corner of Z at B end of Line 1)

Betadine or Hibiclens preparation of site
Local Lidocaine Anesthesia
Using #15 blade, make vertical incision along Z
1. Excise scar
2. Create full thickness skin flaps
Undermine skin at subcutaneous fat
1. Flaps should be freely mobile

Flap tip E is transposed to point D (bottom end of Z)
1. Simple interrupted stay Sutures hold sides
2. Corner Stitches used to hold flap tips in place
Flap tip F is transposed to point C (top end of Z)
1. Simple interrupted stay Sutures hold sides
2. Corner Stitches used to hold flap tips in place