A scar contracture occurs when the skin pulls tightly together during the final stage of wound healing when a scar begins to form. Scarring is part of a normal wound-healing response that follows an intricate biological process with several distinct stages. Small cuts or incisions may only lead to minimal scarring that fades over time. However, some people aren’t so fortunate. Genetics, skin type, and environmental factors all play a role in how well a wound heals. In some cases, a person may be predisposed to keloids and hypertrophic scars. In cases where a person is severely burned or undergoes a dramatic surgery, a scar contracture is likely to follow.