Semin Plast Surg 2020; 34(04): 305-313
DOI: 10.1055/s-0040-1721768
Review Article

Paradigms in Complex Facial Scar Management

Tom Shokri
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Jesse Smith
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Yadranko Ducic
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations

Abstract

The process of scar formation is a sequela of the healing following soft tissue injury extending to, or through, the reticular dermis. Scars, within the head and neck in particular, may be physically disfiguring with resultant psychosocial implications. Mitigation of excessive scar formation during the healing process following surgery, or in the setting of trauma, begins with meticulous soft tissue handling and reconstructive technique. The reconstructive surgeon's armamentarium must therefore include techniques that minimize initial scar formation and revision techniques that address unfavorable outcomes. With this in mind, this article reviews both conservative nonsurgical and surgical treatment modalities that mitigate scar formation or address mature scar formation.

Disclosures

The authors have no disclosures.




Publication History

Article published online:
24 December 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
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