Scar Revision



Scarring is an inevitable consequence of a normal healing process. Of 100 million people acquiring scars in the developed world per annum, approximately 15% of these have nonsatisfactory or unaesthetic results. It must be understood that once the full thickness of the skin is breached, there is no such thing as an invisible scar, although the techniques illustrated in this chapter will optimise the final result and, in some cases, may result in a barely perceptible scar. Secondary revision of facial scarring follows a logical algorithm of noninvasive and invasive measures which can improve the final result and shorten the time the scar takes to get there. It is indicated for certain key negatively prognostic properties of scars; results are predictable, and patient satisfaction remains high.


Scar revision Z-plasty W-plasty Geometric broken line closure Dermabrasion 

Suggested Reading

  1. Chen MA, Davidson TM. Scar management: prevention and treatment strategies. Curr Opin Otolaryngol Head Neck Surg. 2005;1(13):242.CrossRefGoogle Scholar
  2. Gassner HG, Sherris DA. Chemoimmobilization: improving predictability in the treatment of facial scars. Plast Reconstr Surg. 2003;112:1464–6.CrossRefGoogle Scholar
  3. Handschel J, Schultz S, Depprich RA, Smeets R, Sproll C, Ommerborn MA, et al. Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations. Clin Oral Invest. 2013;17:573–8.CrossRefGoogle Scholar
  4. Monstrey S, Middelkoop E, Vranckx JJ, Bassetto F, Ziegler UE, Meaume S, et al. Updated scar management practical guidelines: non-invasive and invasive measures. J Plast Reconstr Aesthet Surg. 2014;67:1017–25.CrossRefGoogle Scholar
  5. Rieck KL, Fillmore WJ, Ettinger KS. Late revision or correction of facial trauma-related soft-tissue deformities. Oral Maxillofac Surg Clin North Am. 2013;25:697.CrossRefGoogle Scholar
  6. Vasconez HC, Buseman JL, Cunningham LL. Management of facial soft tissue injuries in children. J Craniofac Surg. 2011;22:1320–6.CrossRefGoogle Scholar
  7. Wilson AM. Use of gotulinum toxin type A to prevent widening of facial scars. Plast Reconstr Surg. 2006;117:1758–66.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryRoyal London HospitalLondonUK
  2. 2.Department of Oral and Maxillofacial SurgeryRegional Unit Northwick Park and St Mary’s HospitalLondonUK

Personalised recommendations