Abstract: Objective To observe the effect of segmental excision technique in the treatment of facial scar. Methods From January 2012 to June 2014, 38 cases with facial scar were treated. Based on the skin tension lines, facial organ zonation and contour lines, the whole scar was segmented into two or more segments. Then segmental scars were excised and repaired by plastic technique. After 3-6 months, the punctuate scars were treated with fractional laser skin regeneration technique or directly excision. Results All cases were followed up for 1 to 3 years. The color and texture of scar were improved, moreover, no apparent contracture, incision lines were obscured. Facial contours were restored without distorting surrounding structures. Conclusion Segmental excision technique combining secondary fractional laser skin regeneration technique for the punctuate scars is an effective method for facial scar treatment, especially irregular linear scar and contracture scar.

Key words: Facial linear scar, Contracture, Tension line, Restoration