eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery
Scar Revision: Follow-up
Updated: Jun 30, 2009
Future and Controversies
Scar revision techniques are directed toward camouflaging otherwise functional and aesthetically unacceptable wounds. Unlike any other cosmetic facial surgical procedure, scar revision retains a high emotional component that must be addressed by the surgeon. Superior scar revision begins with an understanding of the factors affecting scar formation and is linked to an applied knowledge of plastic surgical technique and specific revision procedures.
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Follow-up: Scar Revision |
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References
Frodel JL Jr. Dealing with the difficult trauma and reconstructive surgery patient. Facial Plast Surg Clin North Am. May 2008;16(2):225-31, vii-viii. [Medline].
Donelan MB, Parrett BM, Sheridan RL. Pulsed dye laser therapy and z-plasty for facial burn scars: the alternative to excision. Ann Plast Surg. May 2008;60(5):480-6. [Medline].
Martins A, Trindade F, Leite L. Facial scars after a road accident--combined treatment with pulsed dye laser and Q-switched Nd:YAG laser. J Cosmet Dermatol. Sep 2008;7(3):227-9. [Medline].
Skouge JW. Subcutaneous island pedicle flap with Z-plasty: a cosmetic enhancement. Dermatol Surg. Dec 2007;33(12):1529-32. [Medline].
Stiefel D, Schiestl C, Meuli M. Integra Artificial Skin((R)) for burn scar revision in adolescents and children. Burns. May 26 2009;[Medline].
Borges AF. Principles of scar camouflage. Facial Plast Surg. Spring 1984;1(3):181-90. [Medline].
Borges AF. Prognosis of scarring in wounds. In: Borges AF. Elective Incisions and Scar Revisions. Little Brown & Co;1973.
Borges AF. Relaxed skin tension lines. In: Borges AF. Elective Incisions and Scar Revisions. Little Brown & Co;1973.
Borges AF. Z-Plastic scar revision. In: Borges AF. Elective Incisions and Scar Revisions. Little Brown & Co;1973.
Cohen IK, Beaven MA, Horakova Z, Keiser HR. Histamine and collagen synthesis in keloid and hypertrophic scar. Surg Forum. 1972;23(0):509-10. [Medline].
Cohen IK, Keiser HR, Sjoerdsma A. Collagen synthesis in human keloid and hypertrophic scar. Surg Forum. 1971;22:488-9. [Medline].
de Oliveira GV, Nunes TA, Magna LA, et al. Silicone versus nonsilicone gel dressings: a controlled trial. Dermatol Surg. Aug 2001;27(8):721-6. [Medline].
Goslen JB. Physiology of wound healing and scar formation. In: Thomas JR, Holt GR, eds. Facial Scars: Incision, Revision and Camouflage. Mosby-Year Book;1989.
Goslen JB. Wound healing for the dermatologic surgeon. J Dermatol Surg Oncol. Sep 1988;14(9):959-72. [Medline].
Kischer CW, Shetlar MR. Collagen and mucopolysaccharides in the hypertrophic scar. Connect Tissue Res. 1974;2(3):205-13. [Medline].
Klopp R, Niemer W, Fraenkel M, von der Weth A. Effect of four treatment variants on the functional and cosmetic state of mature scars. J Wound Care. Jul 2000;9(7):319-24. [Medline].
Knapp TR, Daniels RJ, Kaplan EN. Pathologic scar formation. Morphologic and biochemical correlates. Am J Pathol. Jan 1977;86(1):47-69. [Medline].
Maguire HC. Treatment of keloids with triamcinolone acetonide injected intralesionally. JAMA. 1955;192:325.
Montagna W, Parakkal PF. The Structure and Function of the Skin. 3rd ed. NY:. Academic Press;1974.
Rockwell WB, Cohen IK, Ehrlich HP. Keloids and hypertrophic scars: a comprehensive review. Plast Reconstr Surg. Nov 1989;84(5):827-37. [Medline].
Saski GH, Krizek TJ. Biology of tissue injury and repair. In: Giorgiade NG, et al, eds. Essentials of Plastic, Maxillofacial and Reconstructive Surgery. Lippincott Williams & Wilkins;1987.
Schmidt A, Gassmueller J, Hughes-Formella B, Bielfeldt S. Treating hypertrophic scars for 12 or 24 hours with a self-adhesive hydroactive polyurethane dressing. J Wound Care. May 2001;10(5):149-53. [Medline].
Thomas JR, Holt GR. Facial scars. In: Facial Scars: Incision, Revision and Camouflage. St. Louis:. CV Mosby Co;1989.
Toriumi DM, Raslan WF, Friedman M, Tardy ME. Histotoxicity of cyanoacrylate tissue adhesives. A comparative study. Arch Otolaryngol Head Neck Surg. May 1990;116(5):546-50. [Medline].
Webster RC, Davidson TM, Smith RC, et al. M-plasty techniques. J Dermatol Surg. Nov 1976;2(5):393-6. [Medline].
Further Reading
Clinical guideline
Management of burns and scalds in primary care.
New Zealand Guidelines Group - Private Nonprofit Organization. 2007 June. 120 pages. NGC:005962
Clinical trials
Juvista in Scar Revision Surgery of Disfiguring Scars (Revise)
Exploratory Study of the Efficacy and Safety of Juvista 250ng When Administered Following Excision of Ear Lobe Keloids
Related eMedicine topics
Scar Revision (Dermatology)
Laser Revision of Scars
Z-Plasty
Facial Burns
Wound Healing, Nerve
Keloid and Hypertrophic Scar
Keywords
scar revision, cosmetic wound revision, scar repair, cosmetic skin repair, Z-plasty, classic Z-plasty, multiple Z-plasty, serial Z-plasty, W-plasty, running W-plasty, zig-zag plasty, M-plasty, geometric broken line closure, GBLC
Follow-up: Scar Revision