Avoiding pitfalls and unfavorable outcomes in scar revision.

The goal of scar revision is to improve upon appearance and function. In addition, techniques used to rectify scars may recruit local "normal" tissue. Appropriate scar management begins at the time of injury. Initial treatment, patient selection, timing of repair, and technique selection are critical steps in the decision-making process. Weakness in any one step can lead to a worsened scar appearance. Some common difficult management issues in scar revision are outlined with the aid of select cases.