Kosin Medical Journal

Review article

Postoperative scar management: Jinyong Shin, Yoonsoo Kim, Hongil Kim, Jinhyung Park, Hyungsuk Yi; Kosin Med J. 2025;40(2):96-105. Published online June 20, 2025; DOI: https://doi.org/10.7180/kmj.25.107

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Postoperative scars inevitably occur after surgical procedures and can impact both aesthetic and functional aspects of healing. With advancements in medical research, various strategies have been developed to prevent and manage surgical scars. This review explores mechanisms of wound healing, the classification of postoperative scars, and the latest approaches in scar prevention and treatment. The wound healing process consists of the following phases: hemostasis, inflammation, proliferation, and maturation. Understanding this process is essential for effective scar management. Factors such as tension, infection, and individual patient characteristics can influence scar formation. Preventive strategies, including optimal suture techniques, taping methods, silicone therapy, and corticosteroid injections, have demonstrated significant benefits in minimizing scar severity. Additionally, advanced treatments such as laser therapy and surgical scar revision techniques, including Z-plasty and W-plasty, offer effective solutions for improving established scars. Relaxed skin tension lines in surgical planning also play a crucial role in minimizing scar prominence. Evidence suggests that a multidisciplinary approach that integrates prevention and treatment modalities can optimize wound healing and improve patient outcomes. Implementing these evidence-based strategies can significantly improve postoperative scar management, ultimately enhancing both functional and cosmetic results for patients.

Citations

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