case_images: PMC10847893_01
case_images: Pre-operative view of high labial papillary type frenal attachment.
case_images: cureus-0016-00000051853-i01.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i01.jpg
case_images: FIG1
case_images: Z-shaped incision was made by two lateral horizontal incisions and one vertical incision.
case_images: cureus-0016-00000051853-i02.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i02.jpg
case_images: FIG2
case_images: The Z-shaped incision in Figure 2 was created by making two lateral horizontal incisions at the apex and base at a 60  angle and one central mid-vertical incision across the frenal attachment.
case_images: Diagrammatic representation of the Z-plasty frenectomy design.. Figure Credit: Author Unnati Shirbhate
case_images: cureus-0016-00000051853-i03.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i03.jpg
case_images: FIG3
case_images: This angle determines the degree of tissue extension, which is illustrated in the diagrammatic representation in Figure 3.
case_images: Two flaps were relocated to the side opposite each flap's apex.
case_images: cureus-0016-00000051853-i04.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i04.jpg
case_images: FIG4
case_images: Two flaps were relocated to the side opposite each flap's apex after achieving hemostasis, as seen in Figure 4.
case_images: Sutures were placed by securing two opposing flaps.
case_images: cureus-0016-00000051853-i05.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i05.jpg
case_images: FIG5
case_images: Postoperative view after suture removal showing satisfactory tissue healing of the surgical site.
case_images: cureus-0016-00000051853-i06.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i06.jpg
case_images: FIG6
case_images: Completely satisfactory healing seen at one-month follow-up.
case_images: cureus-0016-00000051853-i07.jpg
case_images: PMC10847893_01_cureus-0016-00000051853-i07.jpg
case_images: FIG7