title: Alternating-pattern Z-plasties in association with V-Y advancements: a new idea of multiple Z-plasties.
abstract: A new principle of arrangement in multiple Z-plasties is advocated. By placing Z's in an alternating pattern in combination with V-Y plasties, more effective and harmless elongation of skin will be possible.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kasai
authors.forename: Y
authors.initials: Y
authors.lastname: Ogawa
mesh_terms: D001696:Biomechanical Phenomena; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000517:prevention & control; D062109:Dermatologic Surgical Procedures; D006801:Humans; D013518:Surgery, Plastic / Q000379:methods*