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Visualizing Scar Development Using SCAD Assay - An Ex-situ Skin Scarring Assay
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Reducing Risks of Facial Scarring.

David B Hom1, Jeffrey D Bernstein1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California - San Diego, 200 West Arbor Drive, Mail Code 8895, San Diego, CA 92103, USA.

Facial Plastic Surgery Clinics of North America
|March 31, 2023
PubMed
Summary

Facial scar formation depends on skin type, ethnicity, and healing. Proper surgical planning, wound care, and treatments can reduce scar risk and improve appearance.

Keywords:
FaceFacial plasticsFacial scarsPrevention of scarScar treatmentScarringWound care

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Area of Science:

  • Dermatology and Plastic Surgery

Background:

  • Facial scar formation is influenced by various factors including skin type, ethnicity, scar location, and underlying medical conditions affecting wound healing.
  • Pathologic scars, such as hypertrophic and keloid scars, present unique challenges in treatment and revision due to high recurrence rates.

Purpose of the Study:

  • To review risk factors associated with facial scar formation.
  • To discuss strategies for minimizing scar risk through surgical planning and wound care.
  • To outline current approaches for managing and treating common pathologic scars.

Main Methods:

  • Literature review of risk factors for scar formation.
  • Analysis of surgical techniques and wound care protocols for scar prevention.
  • Overview of medical and surgical treatment modalities for hypertrophic and keloid scars.

Main Results:

  • Skin type, ethnicity, scar location, and medical conditions are key risk factors for facial scarring.
  • Meticulous surgical planning, including incision design, closure, aseptic technique, and wound care, can significantly reduce scar risk.
  • Hypertrophic and keloid scars require distinct treatment strategies to manage recurrence and improve appearance.

Conclusions:

  • Understanding individual risk factors is crucial for preventing facial scars.
  • Proactive surgical and wound care measures are essential for optimal scar outcomes.
  • Tailored medical and surgical interventions are necessary for effective management of problematic scars.