Abstract
When performing a scar revision surgery for conspicuous scars with wide suture marks, all scars, including the suture marks, need to be excised. However, when the distance between the suture marks is wide, a high tension is needed to close the wound, which leads to complications such as wound dehiscence or hypertrophic scarring.
We performed multiple Z-plasty for the treatment of such scars, utilizing the suture marks as the end of the lateral limbs of the Z-plasties. This technique allows more normal skin to be preserved between the suture marks; moreover, tensile force needed to close the wound becomes less. We report good outcomes in the two cases treated using our original technique.