Abstract
Z-plasty is a versatile reconstructive technique used to improve the functional and aesthetic properties of scars. In addition to release wound contractures, Z-plasties are useful for primarily closing tissue defects. Z-plasties are based on tissue flaps that are marked preoperatively and raised intraoperatively to create a new central limb scar with relieved skin tension. Certain preoperative, intraoperative, and postoperative details, as described below, must be heeded to in order to prevent complications and successfully perform this procedure. Variations within this procedure exist in order to tailor to the specific needs of the reconstructive surgeon and the surrounding anatomy.