Aberrant fibrous tissue formation after surgery or trauma still presen
ts a challenge to surgeons. Current research hopes td identify the cha
racteristics of the population of fibroblasts that lead to hypertrophi
c or keloid scar formation. Surgical procedures and laser therapy foll
owed by intralesional steroid treatments still are the foundation of t
reatment, but new modalities are being applied. The pathogenesis and m
anagement of hypertrophic scars, keloids, and scar contractures are di
scussed in this article.