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Scar RevisionA facial scar is frequently considered a cosmetic problem due to its visibility and location, whether or not it is hypertrophic. There are several ways to make a facial scar less noticeable. Often it is simply cut out and closed with tiny stitches, leaving a thinner, less noticeable scar. If the scar lies across the natural skin creases (or “lines of relaxation"), the surgeon may be able to reposition it to run parallel to these lines, where it will be less conspicuous. Some facial scars can be softened using a technique called dermabrasion. Dermabrasion leaves a smoother surface to the skin, but it won’t completely erase the scar. “Z" – Plasty is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin, where it will be less noticeable. It can also relieve the tension caused by contracture. Not all scars lend themselves to Z- plasty, and it requires an experienced plastic surgeon to make such judgments. Sometimes W- plasty can also help in hiding a very prominent scar. Skin grafting, flaps, low- dose steroid injections can also help in select cases. Scars that are well settled and not very prominent can be concealed with cover- up make up too.
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