Notes on Multiple Flaps/Corners for Closure Including Multiple W-Plasties:
1. It takes a lot of time plus effort & may be difficult to incise (execute precisely)
2. Small & Multiple corners on flat surfaces are difficult to stitch-up, have poor blood supply & there is high risk for tip necrosis3. We prefer a straight line closure, blending into natural creases & wrinkle lines & simple & single Z-plasties across/over joint surfaces/creases (perpendicular to)
A Case of a Nose Lump (Exostosis/Osteoma or Benign Bony Outgrowths of the Nasal Bone), Excised & the Skin Edges Were Sutured Using our Finest Suturing Technique. Note the skin darkening from excess skin but a tiny straight scar line.