Multiple Excision with Occasional Z-Plasty for Correction of Disabilities of Exposed Surfaces

Abstract

Summary 1. Most plastic surgeons do not recognize and utilize some procedures which will improve materially the end results of surface repair. 2. The cosmetic result of such repairs merits more consideration. 3. The evolution of and the universal modern practice in facial repair has been profoundly influenced by the popularization of tubed pedicle flaps, free grafts and rotated flaps from the forehead. 4. Reconstructions utilizing these methods are frequently procedures of necessity rather than procedures of choice. 5. A better understanding of the varied uses of Z-plasties, the employment of the principle of multiple excision, and the use of flaps of normal tissue from the vicinity of the deformity greatly improve the end results. 6. The plastic surgeon of today has a solemn obligation to his patient which can be discharged only by careful consideration of the art and finesse of the practice.