Treating scars: Addressing surface, volume, and movement to expedite optimal results. Part 2: More-severe grades of scarring

Background The management of scarring (after acne, surgery, or disease) is an ongoing challenge. Methods This is the second of two reviews and will use a grading scale of disease burden to classify scarred patients. Treatment discussion will concentrate on procedures exerting effect on volume and surface changes and the effects of movement. Results Treatment relevant to the type and severity of scarring will be discussed and tabulated treatment plans outlined. Conclusion Severe grades of scarring often require a combination of filling agents for volume deficit, injectable agents for hypertrophic disease, neurotoxins to effect movement, and fractionated and ablative resurfacing for surface changes.