"Beak"-plasty

A new effective modification of Z-plasty

Tomohisa Nagasao, Junpei Miyamoto, Kaichiro Yoshikawa, Yuichiro Ando, Maki Nagasao, Tatsuo Nakajima

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: Because the "lateral limbs" resulting from conventional Z-plasty form a steep angle against the relaxation skin tension line (RSTL), they often develop hypertrophic change, whereas the "central limbs" become inconspicuous after being realigned parallel to the RSTL. OBJECTIVE: To alleviate the above-mentioned hypertrophic change of the lateral limbs, we modified the conventional Z-plasty and invented a new technique. Because the shape of the flap resembles a bird's beak, we call the technique "beak-plasty." The purpose of this study is to present the new technique. METHODS: The technique is described and effectiveness of the technique is reviewed on 21 patients. In particular, three representative cases are presented with photographs. RESULTS: In all patients, the lateral limbs of the flaps did not become hypertrophic after a minimum follow-up period of 9 months. CONCLUSIONS: Our technique can effectively reduce Z-plasty's risk of postoperative hypertrophy in the lateral limb. Therefore, it can make the scar less conspicuous than in conventional Z-plasty. For this advantage, we recommend our technique as an effective armament for scar revision.

Original languageEnglish
Pages (from-to)344-349
Number of pages6
JournalDermatologic Surgery
Volume33
Issue number3
DOIs
Publication statusPublished - 2007 Mar

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Beak
Extremities
Cicatrix
Skin
Hypertrophy
Birds

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

Nagasao, T., Miyamoto, J., Yoshikawa, K., Ando, Y., Nagasao, M., & Nakajima, T. (2007). "Beak"-plasty: A new effective modification of Z-plasty. Dermatologic Surgery, 33(3), 344-349. https://doi.org/10.1111/j.1524-4725.2007.33071.x

"Beak"-plasty : A new effective modification of Z-plasty. / Nagasao, Tomohisa; Miyamoto, Junpei; Yoshikawa, Kaichiro; Ando, Yuichiro; Nagasao, Maki; Nakajima, Tatsuo.

In: Dermatologic Surgery, Vol. 33, No. 3, 03.2007, p. 344-349.

Research output: Contribution to journalArticle

Nagasao, T, Miyamoto, J, Yoshikawa, K, Ando, Y, Nagasao, M & Nakajima, T 2007, '"Beak"-plasty: A new effective modification of Z-plasty', Dermatologic Surgery, vol. 33, no. 3, pp. 344-349. https://doi.org/10.1111/j.1524-4725.2007.33071.x
Nagasao T, Miyamoto J, Yoshikawa K, Ando Y, Nagasao M, Nakajima T. "Beak"-plasty: A new effective modification of Z-plasty. Dermatologic Surgery. 2007 Mar;33(3):344-349. https://doi.org/10.1111/j.1524-4725.2007.33071.x
Nagasao, Tomohisa ; Miyamoto, Junpei ; Yoshikawa, Kaichiro ; Ando, Yuichiro ; Nagasao, Maki ; Nakajima, Tatsuo. / "Beak"-plasty : A new effective modification of Z-plasty. In: Dermatologic Surgery. 2007 ; Vol. 33, No. 3. pp. 344-349.
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