repair, complex of chin, 2.6 cm to 7.5 cm z-plasty

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