Oily or pigmented unsightly scars

skin produces, as a general rule, more ..

Certain anatomic areas tend to produce unfavorable The shoulder and sternal
scars
that remain hypertrophic or wide. ....
The direction of a laceration or excision also . Dupuytren
determines the
eventual appearance of the scar. The lines of tension in
the skin
were first noted by.....

Langer also described the nonnal "Langer lines."

tx:nsion lines, which became known as
.....
Incisions and aesthetic
scars can be "hidden" by placing them at the units (e.g., at the junction of the lip and cheek
junction of and along
the nasolabial fold)

The trapdoor effect is an ...... elevated and bulging deformity of tissue

within the semicircular confines of a U-, C-,
or V-shaped scar.
The "trapdoor" scar results from a curvilinear incision
or
laceration that, after healing and contracture,
appears as a
depressed groove with bulging skin on the inside of
the curve.
Attempts at "defatting" the bulging area are never as
satisfac·
tory as either the patient or surgeon would like.
Minimizing damage to the skin edges with ....... atraumatic technique,
debridement of necrotic or foreign material, and a ten·
sion-free closure are the first steps in obtaining a fine-
line scar.

Two technical factors are of definite importance in "railroad tracks"

increas·ing the likelihood of a "good" scar. First is the
placement
of sutures that are not excessively tight and are
removed
promptly so disfiguring ....do not occur
Sutures on the face can usually Penting nyabut
be removed in 3 to S days and on the body in 7
days or less.
Wounds that are deeper than skin are closed a. Layers
in......a..... The key is to eliminate...b...., to provide a b. dead space
strong enough closure c. tension
to prevent dehiscence while wound healing is
occurring,
and to precisely approximate the skin edges
without...c.....
A closure a. stronger
over the calf, however, is subject to motion,
dependence, and
stretching with walking, requiring a ...a....closure than
the
scalp, which does not move, is less dependent, and not
subject
to tension in daily activities.
SIMPLE INTERUPTED SUTURE a. 5 to 7
b. 1 to 2
Sutures are usually placed approximately ...a....mm
apart and ....b..... mm from the skin edge
Vertical mattress sutures tend to leave the most
obvious if not removed early.
In the author's opinion, horizontal mattress sutures are vertical counterparts
far superior to their.....
Half-Buried Horizontal Mattress Suture. the areola
in breast reduction,

For example, when insetting

Continuous sutures can hemostasis

also be placed in a locking fashion to provide
Elliptical excision excess skin and subcutaneous fat at the ends of a
of inadequate length may yield "dog-ears,,. which closure.
consist
of
SKIN GRAFTING
Any tissue that is not completely removed prior to graft.
placement is not a ...
Primary c:ontraction is the immediate recoil of freshly 1. Elastin
harvested grafts as a result of the ...1....in the dermis. The 2. more
more dermis the graft has, the ...2...primary the
contraction
that will be experienced
Secondary c:ontraaure, a result...1.... of myofibroblast activity