Understanding and experience with wound healing is the best tool in obtaining consistently excellent scars. A surgical procedure is designed with this goal in mind.
Some of the best scars on the body are those associated with eyelid procedures (blepharoplasty), facelifts (incisions in front of ears) and nose surgery (rhinoplasty). Similarly in cases of facial skin cancer surgery, every effort is made to achieve a surgical reconstruction that is natural and easily disguised.
In hand surgery the focus is on avoiding scars that may potentially cause webbing or limitation of movement. Hence most incisions are designed as zig-zags or similar variations.
The type of wound closure and suturing technique and material is also essential. It is generally best to use “buried sutures” to avoid suture track marks and slowly dissolving deep sutures to give the wound sufficient support to minimise the risk of scar stretching.