Facial Scars: Surgical Revision and Treatment

J. Regan Thomas, MD

Professor of Facial Plastic Surgery
Department of Otolaryngology–Head and Neck Surgery
Northwestern University
Feinberg School of Medicine
Chicago, Illinois

David Hom, MD

Professor of Surgery
Head & Neck Surgery
Facial Plastic & Reconstructive Surgery
University of California San Diego
School of Medicine
San Diego, California

Facial appearance related to scarring has an impact on issues of self image, self confidence, and social interaction with clear social and psychological implications. Those physicians treating patients with facial scars require treatment modalities and procedures that offer the best opportunity for a return to a normal and aesthetic appearance. Facial Scars: Surgical Revision and Treatment provides detailed descriptions, illustrations, and photographs of these procedures. Chapters are sequenced and organized to develop an orderly progression in four sections from basic concepts and key considerations, to surgical techniques and options, to nonsurgical treatment enhancements.

Facial scar formation is a permanent result of skin healing, but often the appearance of the scar may be improved by techniques that change the width, surface, direction, or configuration of the scar to a more camouflaged state. This book presents contemporary scar treatment options reflecting successful scar revision methods described by experienced physicians from various specialty backgrounds and perspectives. Successful scar revision is greatly impacted by pretreatment planning and utilization of techniques best suited for the individual scar based on the scar’s location, configuration, anatomic factors, and Fitzpatrick skin type. The ultimate goal of Facial Scars: Surgical Revision and Treatment is to enhance scar treatment by providing the physician reader with a practical and useful resource to enhance facial scar revision results for their patients.

Facial Scars received a 93 score from Doody’s Review Service™ review.

Preface
Contributors
SECTION I. BASIC CONSIDERATIONS
Chapter 1. Surgical Anatomy of Facial Scars by Gregory H. Branham
Chapter 2. Wound Healing and Scar Formation by Gregor M. Bran
Chapter 3. Fetal and Pediatric Skin Scarring by Swathi Balaji, Emily H. Steen, Nathaniel Han, Alice King, Paul L. Bollyky, and Sundeep G. Keswani
Chapter 4. Scars and Ethnicity by Marty O. Visscher
Chapter 5. Medical Conditions and Diseases Giving Higher Risk of Scarring
by Sofia Lyford-Pike and Harley S. Dresner
SECTION II. CONCEPTS OF FACIAL SKIN WOUND TREATMENT
Chapter 6. Anesthetic Considerations for Skin Surgery by J. Regan Thomas and Tatiana K. Dixon
Chapter 7. Incision Planning for Better Facial Scars by David M. Weeks and J. Regan Thomas
Chapter 8. Wound Closure Materials and Devices by Tasneem Shikary and David B. Hom
Chapter 9. Acute Wound Management of Scar Revision Techniques
by Scott Shadfar and Stephen W. Perkins
SECTION III. SCAR REVISION SURGERY
Chapter 10. Preoperative Scar Analysis and Operative Planning by David B. Hom
Chapter 11. Dermabrasion and Scar Treatment by J. Regan Thomas
Chapter 12. Lasers in Scar Treatment by Allen Foulad, J. Stuart Nelson, and Brian J. Wong
Chapter 13. Z-Plasty in Scar Revision by J. Regan Thomas and David B. Hom
Chapter 14. W-Plasty in Scar Revision by J. Regan Thomas and David B. Hom
Chapter 15. Geometric Broken Line Closure (GBLC) and Scar Revision by J. Regan Thomas
Chapter 16. Scar Revision in the Pediatric Age Group by Chad A. Purnell and Arun K. Gosain
Chapter 17. Improved Scars from Flaps and Trap Door Scars by J. Regan Thomas
Chapter 18. Scar Revision in Hair-Bearing Areas by Daniel E. Rousso and Sang W. Kim
Chapter 19. Keloids and Hypertrophic Scars by Katherine Dunsky and Anthony E. Brissett
Chapter 20. Improvement of Acne Scars by Jordan Rihani, Fred G. Fedok, and E. Gaylon McCollough
Chapter 21. Facial Burn Scars: Surgical Revision and Treatment by R.M. Rotatori and W. John Kitzmiller
Chapter 22. Scar Revision of the Lips by Gregory J. Renner and David Chang
Chapter 23. Eyelid and Periorbital Scar Revision by Rakesh M. Patel, Amjad Z. Ahmad, and
Allen M. Putterman
Chapter 24. Pearls and Pitfalls in Scar Management by David B. Hom
SECTION IV – NONSURGICAL CONSIDERATIONS
Chapter 25. Cosmetics, Hairstyles, and Facial Accessories for Scar Camouflage by Kent Lam and Douglas Sidle
Chapter 26. Using Injectable Materials for Scars by Allison T. Pontius, Taylor Pollei, and Edwin F. Williams III
Chapter 27. Techniques for Quantitation of Scar Characteristics by Marty O. Visscher, Shona A. Burkes, R. Randall Wickett, and J. Kevin Bailey
Chapter 28. Nonsurgical Therapies for Scars by Jae Y. Kim, Ryan Rimmer, and David Sherris
Index

© Doody’s Review Service

Reviewer: Jeffrey Rosenthal, MD (Bridgeport Hospital)

Description
The authors have fashioned an informative book that reviews in detail the wound healing process and the technical maneuvers necessary to afford patients optimal healing and limited scar formation.

Purpose
The purpose is to present an organized methodology including basic concepts and surgical and nonsurgical techniques that would enhance skin closure and subsequent scar formation. The principles that the authors present, if followed, fulfill the objectives.

Audience
The authors and contributors demonstrate a deep fund of knowledge about the factors that control wound healing and the procedures necessary to limit scar formation. Students, physicians, and their assistants who deal with facial procedures will get an informed perspective that will help them in minimizing facial scarring.

Features
The first of the book’s four sections is on basic considerations and offers an understanding of the body’s approach to healing from the fetal stage to the mature adult. The section on concepts of facial skin wound treatment encompass the use of anesthetics and the manner in which to incise, plan, and close wounds. The final sections offer a plethora of modalities to revise scars. The color plates, illustrations, and organization of the chapters are superb. There is some overlap of information, but this is to be expected.

Assessment
This book is easy to understand, tastefully presented, and worthwhile reading for those who wish offer patients optimal wound healing and scar results.

Read the Facial Scars review scores

$149.00 Add To Cart
Book Details

Hardback

Format

275 pages
8.5 in. x 11 in.
21.59 cm x 27.94 cm

Publication Date May 2019
Audience

Plastic surgeons, facial and reconstructive surgeons, dermatologists, oral and maxillofacial surgeons, head and neck surgeons

ISBN 9781607951865
eISBN 9781607959328