Z-plasty is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines
and creases of the skin, where it will be less noticeable. It can also relieve the tension caused by contracture. Not all scars lend
themselves to Z-plasty, however, and it requires an experienced plastic surgeon to make such judgments.
In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps
of skin. These flaps are then rearranged to cover the wound at a different angle, giving the scar a "Z"pattern. The wound is closed with
fine stitches, which are removed a few days later. Z-plasty is usually performed as an outpatient procedure under local anesthesia.
While Z-plasty can make some scars less obvious, it won't make them disappear. A portion of the scar will still
remain outside the lines of relaxation.
After scar revision
With any kind or scar revision, it's very important to follow your surgeon's instructions after surgery to make
sure the wound heals properly. Although you may be up and about very quickly, your surgeon will advise you on gradually resuming your
As you heal, keep in mind that no scar can be removed completely; the degree of improvement depends on the size and
direction of your scar, the nature and quality of your skin, and how well you care for the wound after the operation. If your scar looks
worse at first, don't panic-the final results of your surgery may not be apparent for a year or more.