0
Contemporary Review | Journal Club

Scar Revision Review

J. Regan Thomas, MD; Michael Somenek, MD
Arch Facial Plast Surg. 2012;14(3):162-174. doi:10.1001/archfacial.2012.223.
Text Size: A A A
Published online

Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. They can vary in quality depending on the individual's racial characteristics, the mechanism of the trauma, and conditions in which the wound healed—all of which are factors beyond the surgeon's control. A scar on the face can have significant implications for the patient. What may seem like an insignificant issue to the casual observer can cause continuous frustration for the patient, affecting their daily lives. These can include psychological as well as social consequences, leading to a diminished quality of life. Factors that the surgeon can control include the favorable repositioning of the scar, proper alignment of the wound edges, and meticulous handling of the tissues.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. A, An earlobe keloid scar from ear piercing; B, earlobe 1 year following excision, serial steroid injections, and local pressure to the site.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. A, Distortion of the lower ear from keloid formation; B, appearance of lower ear following excision and reconstruction, serial steroid injections, and local pressure.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 3. A, A keloid scar of left cheek; B, appearance of scar following excision, serial corticosteroid injections, and silicone gel sheet application.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 4. A, Recurrent keloid scar formation in the post auricular area; B, appearance following surgical resection and serial low dose radiation therapy.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 5. A, A widened, elevated scar of the upper lip; B, scar appearance following fusiform excision and dermabrasion.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 6. A, A trapdoor scar of the right cheek region; B, the appearance following multiple Z-plasty.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 7. A, A widened forehead scar; B, intraoperative excision and closure with running W-plasty; and C, final appearance at 6 months following W-plasty and dermabrasion.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 8. Typical diamond fraises used in dermabrasion.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 9. A, An acne scar of the nasal tip; B, following dermabrasion of the nasal tip scar.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 10. A, Multiple forehead scars; B, the appearance 6 months following dermabrasion.

Tables

References

Correspondence

CME


You need to register in order to view this quiz.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();