This article describes a practical, clinically based approach to classification of postburn deformities. Burn scar contractures are of either the broad diffuse type or linear band-like type. The former generally respond well to release and insertion of a skin graft or substitute, whereas the latter are generally repaired using a simple or modified Z-plasty or a transpositional flap technique. The pulsed dye laser is a promising technique used to reduce scar thickness and redness. Postburn deformities of the face, upper and lower extremities, and trunk are discussed, in addition to novel techniques for vascularized composite allotransplantation of the face.

Division of Plastic and Reconstructive Surgery Brigham and Women's Hospital 75 Francis Street Boston MA 02115 USA

Division of Plastic and Reconstructive Surgery Department of Surgery Ross Tilley Burn Centre Sunnybrook Health Sciences Centre University of Toronto Room D 712 2075 Bayview Avenue Toronto Ontario M4N 3M5 Canada

Plastic Surgery Transplantation Burn Center Division of Plastic Surgery Brigham and Women's Hospital Harvard Medical School 75 Francis Street Boston MA 02115 USA

Plastic Surgery Transplantation Division of Plastic Surgery Department of Surgery Brigham and Women's Hospital Harvard Medical School 75 Francis Street Boston MA 02115 USA

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