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Updated: May 30, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Scar revision techniques: z-plasty, w-plasty, and geometric broken line closure
1Facial Plastic and Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, CB # 7070, G105 Physicians Office Building, 170 Manning Drive, Chapel Hill, NC 27599-7070, USA. william_shockley@med.unc.edu
Abstract:
This article addresses the use of scar revision surgery as it relates to the use of Z-plasty, W-plasty, and geometric broken line closure. Each of these techniques is discussed in detail and the author provides perspectives regarding the indications, advantages, and limitations of each procedure. The surgeon should be experienced with each of these and apply these methods as appropriate. As with any technique, careful preoperative planning along with meticulous execution will lead to optimal results.
