ABSTRACT
The decision to revise a scar should be based on risk versus benefit. Scars over 2
cm in length or scars greater than 2 mm in width can usually be improved with scar
revision. Although many techniques exist, scar irregularization has been used for
scar camouflage for many years. Two techniques commonly employed for scar irregularization
are W-plasty and geometric broken line closure. W-plasty provides a regularly irregular
scar, and geometric broken line closure provides an irregularly irregular scar. Each
method can offer excellent results when performed correctly and in the appropriate
situations. The advantages, disadvantages, and design of each method are discussed.
KEYWORD
W-plasty - geometric broken line closure