ABSTRACT
Revision of facial scars presents a significant diagnostic and technical challenge to the facial plastic and reconstructive surgeon. Being more difficult to conceal, facial scars are often more stress-provoking than scars on other areas of the body. Appropriate planning and technical skills are essential to achieving a result that is both functionally and cosmetically advantageous for the patient. Following injury and primary repair, the wound healing process leads to scar formation that is influenced by many variables. The nature and extent of the initial injury are of paramount importance in determining the ultimate need for scar revision. Scar revision should not be considered until the patient has recovered from the emotional trauma and anger associated with the facial injury, and until the injury has matured past the stage of acute inflammation. This period of time must be tailored to the individual patient, and is generally in the range of 6 weeks to 6 months. A thorough understanding of the factors that influence undesirable scars is necessary for a successful outcome.
