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. 2019 Mar 13;7(3):e2177. doi: 10.1097/GOX.0000000000002177

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Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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Fig. 3. — The case of a 41-year-old man with 1 large and several small anterior chest wall keloids. A, Preoperative view. B, Immediately after excision. C, Immediately after deep and superficial fascial suturing and the design of the z-plasties. D, Immediately after the operation. E, Two years after the operation.