Which products or laser treatments would minimize scarring from a third degree burn? (photos)

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Minimizing scarring from a third-degree burn can be a multifaceted process, often requiring a combination of topical treatments, laser therapy, and sometimes surgical interventions. Here are some general recommendations:

Topical Treatments:

Silicone Gel Sheets or Ointments: These can help flatten and soften scars. They are usually recommended once the wound has healed and can be used for several months.
Moisturizers and Emollients: Keeping the skin hydrated is crucial. Use fragrance-free moisturizers to maintain skin elasticity.
Scar Creams: Products containing ingredients like onion extract (e.g., Mederma) or vitamin E may help reduce the appearance of scars over time.
Laser Treatments:

Fractional Laser Therapy: This can be effective for improving the texture and appearance of burn scars. It typically requires multiple sessions spaced weeks apart.
Pulsed Dye Laser (PDL): This can reduce redness and improve the appearance of hypertrophic scars.
Timing and Duration:

Initial Healing Phase: Focus on wound care and preventing infection. Once the wound is fully closed, you can start with silicone gels and moisturizers.
3-6 Months Post-Healing: This is often an optimal time to begin laser treatments, as the scar tissue is still relatively new. However, treatment plans should be individualized.
Consultation with a Specialist:

It’s essential to work with a dermatologist or a plastic surgeon who specializes in scar management to tailor a treatment plan specific to your needs and the characteristics of your scar.
Sun Protection: Always protect the scar from sun exposure with high-SPF sunscreen to prevent discoloration.

Remember, the effectiveness of treatments can vary, and a specialist will be able to provide the most personalized advice. It's important to follow their recommendations and have realistic expectations about the improvement of the scar over time.