Scar revision techniques are chief among the most important skills for facial plastic and
reconstructive surgeons. In order to achieve the least amount of scarring following a surgical
procedure, it is crucial that the surgeon always consider skin tension. In our hospital, staged scar
revision was conducted on patients with angulated facial scars in order to reduce skin tension.
We conducted a retrospective chart review of patients undergoing staged scar revision for
angulated facial scars at our hospital from July 2002 to September 2010. The follow-up period was
at least six months. All pre-and post-operative photographs were analyzed by two independent
plastic surgeons. And the patients were asked to rate their overall satisfaction with their scar revision
as very satisfied (5), satisfied (4), neutral (3), dissatisfied (2) or completely dissatisfied (1).
Staged scar revision was used in 51 patients with angulated facial scars. Overall, a significantly
improved scar and above (score 4), graded by an independent plastic surgerns, was notes in 47
patients (92.1%). And, 45 patients (88.2%) were satisfied with their scar revisions. In all cases, the
postoperative clinical course was uneventful without any complications.
In conclusion, staged scar revision is considered a good option for the treatment of angulated facial
scar.