 A z-plasty was designed along the previous scar where it was padding to the notable scar deformity and effacement of crease and the z-plasty was then designed to lengthen along the scar to improve the contour. 
A z - plasty was designed along the previous scar where it was padding to the notable scar deformity and effacement of crease and the z - plasty was then designed to lengthen along the scar to improve the contour .