Healing ability after surgery is a somehow unpredictable biological phenomenon with extreme variability between ethnicities, individuals, skin quality of different anatomical areas, features of the surgical technique and multiple genetical and mechanical factors; there are well known factors leading to a unfavorable aesthetic outcomes, including but not limited to black skin, sebaceous or oily skin, certain areas like back, shoulders, chest, mandibular angle and earlobe, abdomen, etc, causes by mechanical stress and pull from the wound edges like hematoma, seroma, excessive postoperative swelling or inflammation, poor surgical planning, features inherent to the surgical technique, etc; notwithstanding some areas are prone to superb aesthetic quality of the scars, like the scalp, face, eyelids, ears, lips, nose, intraoral mucosa, areolas, etc.
Scars might not remain overtime at the location or level they were planned, intended or actually set in the early postoperative period due to several causes like muscular attachments, poor suture technique, excessive mechanical strain pulling from scar edges during a prolonged time, poor surgical planning, poor cutaneous adjustment, etc.
Treatment is initially expectant, since there is no non invasive method of treatment; cases of unsightly displacement malposition may experience benefit of late and scheduled surgical revision, release of attachments, deep plane anchoring, revision of the primary surgical technique, etc.