Stellactomy- A novel technique for the management of facial scar

Facial scars can have a deep emotional and psychological impact on patients, especially when the scars are raised, nodular, or fibrotic in nature. Traditional scar revision techniques like Z-plasty or W-plasty may not fully address the deeper fibrous tissue, often leaving a visible linear scar. To overcome this challenge, we introduce a new technique called Stellactomy, which involves a star-shaped excision aimed at completely removing the nodular scar tissue and achieving better cosmetic results. We applied this method to a 56-year-old male with a long-standing nodular scar on the right cheek caused by deep acne. The procedure allowed complete removal of the fibrous bands with minimal tension and excellent healing. After 8 weeks, the patient showed almost scarless recovery and reported high satisfaction. Stellactomy may be especially useful for scars that are irregular in shape and not suitable for conventional excision techniques.