Toddler burn scar removal (Photo)

Question

My 18-month-old suffered second-degree burns from hot coffee 7 weeks ago. She has noticeable scarring (photo attached). I'm keen on any safe, effective remedies to minimize long-term scars - creams, dietary changes, non-invasive therapies? Any shared experiences or professional advice is greatly appreciated.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 acne 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

Anna Chacon, MD, FAAD · Answer

Burn scars don't usually disappear, but they do fade over time. Treatment can also help reduce the appearance of a burn scar, though the treatment you receive will depend on the type of scar you have and the severity of the burn that caused it. Oils, such as vitamin E oil, gels such as aloe vera, and lotions, such as Eucerine, Aquaphor, or Mederma, are moisturizing and can be used to help soften the scar and make scar massage easier. Avoid using lotions with strong fragrances. Your child may also be given a special tape with silicone on it.

Toddler burn scar removal (Photo)

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