| | eMedicine - Scar Revision : Article by Howard S Kotler, MD, FACS (Site not responding. Last check: 2007-09-26) |
 | | Moreover, even though a scar may be revised by a single larger-angled Z-plasty, the creation of multiple or compound lesser-angled Z plasties acceptably lengthens the scar, results in less tissue distortion, and has the added benefit of better camouflage by increased scar irregularity. |
 | | As in all scar revision, remind patients that the final appearance of the wound cannot be evaluated fully until nearly 6 months postoperatively, as the erythema begins to subside. |
 | | The amount of undermining in any particular revision is dictated by the surgeon's experience; however, studies demonstrate that undermining more than 1 cm may do little to decrease tension on the wound and may create further unnecessary dead space or compromise the subdermal vascular plexus. |
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