W-Plasty Scar Revision of Broad Facial Scars
El Wakeel, H., Azzam, E., Zeidan, A. (2019). W-Plasty Scar Revision of Broad Facial Scars. EKB Journal Management System, 43(2), 339-343. doi: 10.21608/ejprs.2019.65112
Helmy El Wakeel; Ehab Z Azzam; Ahmed A Zeidan. "W-Plasty Scar Revision of Broad Facial Scars". EKB Journal Management System, 43, 2, 2019, 339-343. doi: 10.21608/ejprs.2019.65112
El Wakeel, H., Azzam, E., Zeidan, A. (2019). 'W-Plasty Scar Revision of Broad Facial Scars', EKB Journal Management System, 43(2), pp. 339-343. doi: 10.21608/ejprs.2019.65112
El Wakeel, H., Azzam, E., Zeidan, A. W-Plasty Scar Revision of Broad Facial Scars. EKB Journal Management System, 2019; 43(2): 339-343. doi: 10.21608/ejprs.2019.65112

W-Plasty Scar Revision of Broad Facial Scars

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 29, Volume 43, Issue 2, July 2019, Page 339-343  XML PDF (9.73 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2019.65112
View on SCiNiTO View on SCiNiTO
Authors
Helmy El Wakeel* ; Ehab Z Azzam; Ahmed A Zeidan
The Department of Plastic Surgery, Faculty of Medicine, Alexandria University, Egypt
Abstract
Background: The decision to revise a scar should be based
on risk versus benefit. Broad scars usually could be improved
with scar revision. In the face typically those broad scar run
perpendicular to RSTLs which is a well-known predisposing
factor for a broad scar deformity. Scar irrgularization techniques
as W-plasty is an effective technique to improve and camouflage
such broad scars.
Material and Methods: W-plasty scar revision was employed
for repair of old broad facial scars in 13 patients, scars
were more than one year old.
Results: Significant improvement was obtained in all
patients based on objective assessment of scar improvement
at 6 month post-operative, using visual analog scale (VAS).
All patients rated their improvements as excellent, good or
acceptable.
Conclusion: W-plasty scar revision yielded highly acceptable
cosmetic outcomes in patients suffering from broad facial
scars running away from RSTLs
Keywords
W-plasty – Scar revision – RSTLs
References
Shockley W.W.: Scar revision techniques: Z-plasty, Wplasty,
and geometric broken line closure. Facial Plast.
Surg. Clin. North Am., 19 (3): 455-463, 2011.
2- Watson D. and Reuther M.S.: Scar revision techniquespearls
and pitfalls. Facial Plast. Surg., 28: 487-91, 2012.
3- Schweinfurth J.M. and Fedok F.: Avoiding pitfalls and
unfavourable outcomes in scar revision. Facial Plast.
Surg., 17: 273-8, 2001.
4- Rodgers B.J., Williams E.F. and Hove C.R.: W-plasty and
geometric broken line closure. Facial Plast. Surg., 17:
239-44, 2001.
5- Borges A.F.: W-plasty. Ann. Plast. Surg., 3: 153-9, 1979.
6- Borges A.F.: Principles of scar camouflage. Fac. Plast.
Surg., 1: 181-190, 1984.
7- Elshahat A1 and Lashin R.: The subunit principle in scar
face revision. J. Craniofac. Surg., 28 (4): 1027-1029,
2017.
Egypt, J. Plast. Reconstr. Surg., July 2019 343
8- Alsarraf R. and Murakami C.S.: Geometric broken line
closure. Face. Plast. Surg. Clin. North Am., 6: 163-166,
1998.
9- Cupp C.L., et al.: Scar revision-a simplified method to
design geometric broken line closures. Fac. Plast. Surg.
Clin. North Am., 6: 195-201, 1998.
10- Thomas J.R. and Ehlert T.K.: Scar revision. Fac. Plast.
Reconstr. Surg., 5: 45-52, 1992.
11- Jáuregui E.J., Tummala N., Seth R., et al.: Comparison
of W-plasty vs traditional straight-line techniques for
primary paramedian forehead flap donor site closure.
JAMA Facial Plast. Surg., 18 (4): 258-262, 2016.
12- Park S.S.: Scar revision through W-plasty. Fac. Plast.
Clin. North Am., 6: 157-161, 1998.
13- Webster R.D., Davidson T.M. and Smith R.C.: Broken
line scar revision. Clin. Plast. Surg., 4: 263-274, 1977.
14- Thomas J.R.: Geometric broken-line closure. In: Thomas
Jr., Holt G.R., eds. Facial scars: Incisions, revision and
Camouflage. St. Louis: CV Mosby, 160-167,

Statistics
Article View: 219
PDF Download: 1,575