Repair, complex of chin, 2.6 cm to 7.5 cm Z-plasty cover photo - 281803995

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Deeper, jagged, or entrenched wounds require more sophisticated mending. The provider conducts a sophisticated repair or multilayered closure of a 2.6 cm to 7.5 cm wound on the cheeks, chin, lips, neck, axillae, genitalia, hands, or feet after preparing and anesthetizing the patient. This method requires more than a multilayer closure. The physician may need to excise a scar, debride necrotic tissue and debris (particulate matter), trim and revise the jagged edges of a laceration or reattach an avulsion, and extensively undermine tissue. He may use retention sutures or stents to maintain anatomical position. This method may use a Webster-type subcutaneous suture, Gilles corner stitch, or stellate laceration repair. The provider layers and bandages the wound after cleaning and repairing the deep structures.

untitled 1 repair complex forehead cheeks chin mouth neck axillae genitalia hands feet z plasty deeper jagged entrenched wounds require sophisticated mending provider conducts multilayered closure 2 6 7 5 wound lips preparing anesthetizing patient method requires multilayer closure physician may excise scar debride necrotic tissue debris particulate matter trim revise edges laceration reattach avulsion extensively undermine tissue use retention sutures stents maintain anatomical position webster type subcutaneous suture gilles corner stitch stellate repair layers bandages cleaning repairing deep structures