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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.