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Simple Plastic Repairs

Single and Double M-Plasty

An M-plasty is an excision that decreases the length of an ellipse. It is useful when space is limited at the end of an excision line by an important structure (see diagram). It may also be a useful way of repairing dog ears.


Mplasty1 MPlasty2 Mplasty3
 Mplasty4  Mplasty5 Mplasty6


  • Mark out an ellipse where practicable. Imagine folding in the tip of one or both ends.
  • Cut along marked lines.
  • Close wound with deep buried sutures.
  • Suture skin with interrupted sutures, first along straight part then V section using a 3 point suture.