In terms of surgical techniques, Z-plasty or W-plasty isappropriate for reducing scar tension and therebyreducing the risk of recurrence. A small-wave incisionmethod (or S-plasty) has also been used in long, linearhypertrophic scar reconstruction with favorableresults.7 Skin graft or local flaps may be used in thetreatment of larger scars. Suturing techniques thatresult in prolonged relief of tension are useful.Adjuvant therapy is advised after surgery to preventscar recurrence, but no single strategy has emerged asthe preferred treatment option. Advanced biologictherapies, such as dermal scaffolds, matrices, or epithelial cell suspensions, designed to foster woundhealing may prove beneficial for scar managementafter surgical intervention but have not been wellstudied for this application.