V-Y-S-plasty closure of circular defects.

Standard ellipse excision of lesions followed by direct closure results in a linear scar. Linear scar contracture may disrupt adjacent anatomy, rendering negative functional and cosmetic outcomes. This is of particular relevance when operating in the vicinity of paired or symmetrical anatomic structures. The V-Y-S-plasty closure of circular defects conserves tissue and all but eliminates the need for undermining of wound edges. It is ideally suited for the closure of defects adjacent to the canthi, eyelids, eyebrows, lip commissures and nasal alae. The V-Y-S-plasty is also useful for the extremities where skin is under considerable tension. The technique and our refinements are described.