Treating scars: addressing surface, volume, and movement to expedite optimal results. Part 2: more-severe grades of scarring

Dermatol Surg. 2012 Aug;38(8):1310-21. doi: 10.1111/j.1524-4725.2012.02439.x. Epub 2012 Jun 5.


Background: The management of scarring (after acne, surgery, or disease) is an ongoing challenge.

Methods: This is the second of two reviews and will use a grading scale of disease burden to classify scarred patients. Treatment discussion will concentrate on procedures exerting effect on volume and surface changes and the effects of movement.

Results: Treatment relevant to the type and severity of scarring will be discussed and tabulated treatment plans outlined.

Conclusion: Severe grades of scarring often require a combination of filling agents for volume deficit, injectable agents for hypertrophic disease, neurotoxins to effect movement, and fractionated and ablative resurfacing for surface changes.

MeSH terms

  • Cicatrix / pathology
  • Cicatrix / surgery
  • Cicatrix / therapy*
  • Humans