ePlasty: Vol. 11
S-Plasty Method for Secondary Scar Revision After Flap Surgery
Shimpei Ono, MD, PhD,a Sandeep J. Sebastin, MCh (Plast),b Rei Ogawa, MD, PhD,a Hiko Hyakusoku, MD, PhDa

aDepartment of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan; and bDepartment of Hand and Reconstructive Microsurgery, National University Health System, Singapore.

Correspondence: s-ono@nms.ac.jp

Dear Sir,

We would like to present the use of the S-plasty method for revising the inset of a flap. Occasionally, the inset of a flap results in a depressed scar at the junction between the flap and the normal skin. This scar is further accentuated in a bulky flap. An S-plasty was designed over the depressed portion of the scar (Fig. 1). The S-plasty involves making a series of small-wave like incisions that are approximately 0.5 to 1.0 cm in length. The scar measured 6.5 cm preoperatively and the immediate postoperative length was 8 cm. Figure 2 shows the late postoperative appearance.

Figure 1. Design of S-plasty over the depressed .......