Double Z-plasty repair of large and small rhombic defects: the double-Z rhomboid.

An alternative method for the repair of rhombic skin defects utilizing opposing Z-plasties has been developed and applied clinically. The design, orientation, and execution of this method share the simplicity of the Z-plasty. The technique has been employed successfully in over 100 cases during the past 5 years to resurface defects as large as 150 cm2, and it obviates many of the inherent limitations of the Limberg flap.