Best course for burn scar recovery? (photo)

Question

I suffered quite a bad burn on Saturday last week and even worse I was made to sit and wait with nothing cooling it as they said I would be seen within the hr. nearly 3 hrs later (5.5hrs post burn) I was finally seen in A&E. The image shown is now 1 week post burn - there is no infection but the shooting pains from nerve ending are bad - although I assume a good sign as before I couldn’t feel some of my leg. What is recommended as the best course of action to minimise scarring?

Ajay Mahajan, MD, FRCS (Plast) · Answer

This appears to be an area of superficial burn. The best course of action following something like this is to cool the area under cool running tap water for a good 20-30 minutes to minimise progression of the burn wound. Unfortunately most patients panic and rush to the hospital, which is a natural response.

Hopefully, you should not have much scarring in the long term, but may have some pigmentation changes. Once healed, massage the area with some moisturising cream regularly.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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