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Scar Revision and Camouflage

  • Tri H. Nguyen
Chapter

Abstract

Despite meticulous planning and technique, suboptimal scars will occur even in the hands of the best surgeons. Skills in scar revision, therefore, are essential to any surgeon’s armamentarium. Preoperatively, patients should be informed that secondary revisions and several stages are always possible, if not probable, with complex reconstructions. An accurate assessment of the scar is a critical first step. In doing so, one should realize that what is wrong to the surgeon may not mirror what is wrong to the patient. Although patient preferences are of utmost importance, they must be balanced with objective findings and what is realistically achievable. Patients must understand that revision procedures are always more difficult and carry no guarantee. This chapter will focus on the range of options for scar revision and its application to surgically induced wounds. Traumatic, inflammatory, and burn scar revisions will not be addressed, although the concepts that will be discussed in this chapter are broadly applicable to scar revision surgery despite the initiating event.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Tri H. Nguyen
    • 1
  1. 1.Department of Dermatology and Otorhinolaryngology, M. D. Anderson Cancer CenterUniversity of TexasHoustonUSA

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