One of the most common questions our patients ask, particularly after excisional surgery, is how to minimize postoperative scarring. They specifically ask us about the myriad topical treatments that are often advertised directly to consumers. Many of these products are used early in the postoperative course. We are rarely asked about the use of devices to minimize scarring. Has the time come for surgeons to discuss early treatment with lasers or other physical modalities with their patients? There is growing evidence that early physical treatments improve the ultimate outcome of a surgical scar.