Background: The decision to revise a scar should be based
on risk versus benefit. Broad scars usually could be improved
with scar revision. In the face typically those broad scar run
perpendicular to RSTLs which is a well-known predisposing
factor for a broad scar deformity. Scar irrgularization techniques
as W-plasty is an effective technique to improve and camouflage
such broad scars.
Material and Methods: W-plasty scar revision was employed
for repair of old broad facial scars in 13 patients, scars
were more than one year old.
Results: Significant improvement was obtained in all
patients based on objective assessment of scar improvement
at 6 month post-operative, using visual analog scale (VAS).
All patients rated their improvements as excellent, good or
acceptable.
Conclusion: W-plasty scar revision yielded highly acceptable
cosmetic outcomes in patients suffering from broad facial
scars running away from RSTLs