Facial scars can be caused by severe acne, facial trauma, or incisions needed for other surgery. Factors making scars noticeable include: hypertrophy or keloids, uneven margins that cast shadows, color .mismatch with surrounding skin, and tethering to underlying soft tissues that accentuates the scar during facial animation. Although a scar can never be totally eliminated, t can be altered and blended to signiflcantly camouflage its appearance. Depending on the scar, it can beimproved in appearance by reexcision, altered by redirecting its alignment to better hide, it in a natural facial crease, or blended with a skin-resurfacing procedure (Fig. 26-30, A to E). Recovery time varies with the extent of the scar and the method of treatment-ZI,n. Possible complications include infection and hypertrophic scarring.