Ephithelialization occurs in 48 hours under optimal conditions. The wound is then completely sealed. Requires 6 to 12 months for a mature scar. The smallest scar will be formed when the wound is not under tension. Scars should not be revised until 12 months have passed.
Contractures can develop when a scar intersects perpendicularly to a joint crease.
LAT and TAC can be used alone or can be used to greatly decrease the pain of infiltration. 5 ml on cotton ball and placed in wound. Works well as TAC and does not need to be locked up as controlled substance. Takes 10 to 30 minutes to work. Avoid LAT in areas where epinephrine would be contraindicated, as on distal digits, tip of nose, ears, penis.