Wang D, Ding J, Jiang Y, et al. - A significant improvement in the aesthetic appearance of facial scars could be achieved with a scar revision technique combined with W-plasty and continuous tension-reduction (CTR) technique.

• A retrospective study of 60 patients with facial scar.

• In W-plasty and CTR, significantly better were Vancouver scar scale, visual analogue scale scores, and patient satisfaction, than other groups at 12-month follow-up.

• Severe complications did not occur.

• An environment where the tension is continuously reduced can be achieved with the use of tension offloading device, thus, tension on the surgical incision could be greatly reduced.