![]() On the contrary, wound treatment and care after surgery of any kind, including esthetic or reconstructive interventions, should be initiated early. Furthermore, as poor-quality healing of an incision can constitute a disabling pathology, scar treatment should not be considered as a trivial part of the intervention. Thus, when the scar has unfavorable characteristics, scar revision is often indicated. In contrast, hypertrophic, keloidal, dyspigmented, widened, contracted, or atrophic scars can be unsightly and/or cause functional limitations, which patients often perceive as a problem. The ideal scar is narrow, flat, level with surrounding tissue, and difficult for the untrained eye to see due to color match and placement parallel to relaxed skin tension lines. Because of its impact in scarring, considerable importance is placed on the closure of a surgical incision, which is the final phase of the intervention. In surgical procedures, scars, which are the only visible sequela of the intervention, result from the reparation process undergone by the skin to heal the wounds caused by surgery or trauma. The healing tissue generates changes in the cutaneous architecture, which renders the skin surrounding the scar different from the rest of the skin in terms of color, thickness, elasticity, texture, and degree of contraction. Wound healing, which is a natural process of tissue repair, consists of three phases: inflammation, fibroplasia, and maturation. ![]() ![]() Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. The effectiveness of these treatments is shown by means of objective, quantifiable data collected as a result of studies and postoperative follow-ups carried out at Hospital Alemán in Buenos Aires. This chapter aims at shedding new light to discussion by putting forward two different procedures that enhance scar results in cosmetic and reconstructive surgeries by applying a topical treatment with active ingredients and by combining cadaver and artificial skin as dermal substitutes, respectively. Current research in reconstructive surgery focuses on obtaining high-quality results in the minimum number of steps, with a view to “doing it right the first time.” However, there is no uniform approach to scar treatment, which is partly due to a lack of consensus regarding the most effective healing methods. The issue of achieving esthetically pleasing surgical scars has gained prominence in recent years, with the emergence of the concept of the “imperceptible scar,” which is expected by patients of not only cosmetic but also reconstructive surgery.
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