Scar prognosis

Scar prognosis is a matter of great natural interest to patients. It is important to realize that the nature of the injury is the most important consideration in the final result. The orientation of the wound in relation to the normal lines of skin tension, its location and pattern, and peculiarities of the individual are all determining factors in the final appearance. Good surgical technique is quite well understood, if not always practiced. The final assessment must always await full maturation of the scar. When discussing either the prognosis or the evaluation of a scar, it must be remembered that the view of the patient is influenced by many subjective factors and will not always coincide with the objective evidence. A knowledge of the factors in scar prognosis is invaluable in establishing and maintaining the rapport and confidence of patients.