Best treatment option for a 3rd degree burn scar removal? (Photo)

Question

32F with 3rd degree burn scar on right axilla from a hyperhydrosis treatment at a medical spa in July 2024. I was wondering if there was anything that can be done to improve the appearance of this as I am very self conscious about it. Thank you!

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concern and photo. I completely understand how self-conscious a burn scar can make you feel, especially in a visible or sensitive area like the axilla. Third-degree burn scars are deeper and can involve both skin and underlying tissue, so they can be challenging to treat completely.

There are several approaches to improving the appearance and texture of burn scars:

Laser Treatments: Fractional CO₂ or erbium lasers can help remodel scar tissue, improve texture, and reduce discoloration. Multiple sessions are often needed for the best results.

Surgical Revision: In some cases, scar excision or local flap surgery can reduce thickness and improve contour. This is typically considered for more severe or restrictive scars.

Silicone Therapy & Pressure Garments: Silicone sheets or gels can help soften and flatten raised scars over time. These are often used alongside other treatments.

Injectables: For scars with significant contracture or indentation, steroid or filler injections may help smooth and even out the area.

Because third-degree burn scars vary greatly in depth, size, and tissue involvement, the most effective approach often involves a combination of treatments over time. The goal is to improve both appearance and mobility while minimizing the risk of further damage.

Your concern is completely valid, and with the right approach, noticeable improvement is possible. Patience is key, as deeper scars take longer to respond, and individualized planning is important for the best outcome.

Best treatment option for a 3rd degree burn scar removal? (Photo)

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