“…In particular, wide conspicuous scar ratios, hypertrophic scars, or scars at the suture insertion sites, due to knots that are too tight or suture material left in-situ too long, are very noticeable and are most likely to cause dissatisfaction in affected individuals. 10 In addition to superficial deformities, muscular deficits, some due to inaccurate reconstruction, result in further problems. 11 …”