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. 2017 Mar 10;18(3):606. doi: 10.3390/ijms18030606

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© 2017 by the author.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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This 24-year-old female had a minor acne keloid on her chest that was treated by surgery, namely, total excision and z-plasty, plus postoperative taping fixation. Since the keloid was small, it could be removed totally and the tension was released by the z-plasty. Immediately after removing the sutures on day 10, silicone tape fixation was started to stabilize the wound. Eighteen months after surgery, recurrence was not observed. (a) Preoperative view; (b) design of the z-plasty; (c) immediately after surgery; and (d) 18 months after the operation.