A new method of repairing excisional wounds in the face, trunk, and extremi
ties is demonstrated. The rhomboid W-W-Z-plasty approach is an evolution of
the double-Z rhomboid plasty already published. The authors have recognize
d its value in covering even large defects. The W-W-Z rhomboid plasty adds
new gains to the repair of excisional wounds such as skin-sparing resection
, fewer scars, less deformity, and a desirable resulting z-shaped scar. The
surgical technique and an illustrative case are described.