The appearance and function of skin may be affected by burn scars, and they can persist for a long time after the wound has healed. They can look darker or lighter than the rest of your skin, feel raised and firm, or itch, feel uncomfortable or tight. Fortunately, there are several options available in modern dermatology to help decrease the appearance of burn scars, skin texture and flexibility.
The most appropriate treatment will be dependent on the severity of the initial burn, the type of scar, the age of scar, and the location of the scar on the body. A professional assessment can be used to help decide on the right approach.
Burn Scars are a Complex Formation Process
Burns can cause damage to the layers of the skin. Superficial burns result in little or no permanent scarring, while deeper burns will cause a more intense wound healing response. Throughout this process collagen is formed to repair damaged tissue. Too much or uneven collagen may lead to thick, raised or hard scars.
Burns can be hypertrophic – staying within the original wound. Some may become keloids that grow past the original wound. Scars may also develop into contractures, meaning they contract and may affect parts of the body like the hands, elbows, knees or neck.
Different Treatment Options for Burns
Burn scars need to be treated properly based on the characteristics of the scar and the requirements of the person with the scar. There are different treatment for burn scars that may be considered, singly or together.
Silicone-Based Treatments
Raised scars after the wound has completely closed are usually treated with silicone sheets and silicone gels. Regular use can help to make scars soft, smooth and less obvious. They tend to be most helpful as a part of any Kind of a long lasting scar treatment regime.
Pressure Therapy
If a large burn surface or elevated burn blister is present, pressure garments might be advised. Pressing healing tissue allows for the reduction of excessive scar formation, and a better texture and thickness of the scar in the future.
Steroid Injections
Thick, raised or symptomatic scars can be treated with corticosteroid injections. They act by inhibiting inflammation and overproduction of collagen. It will take a few sessions to see results, depending on the scar.
Laser Therapy
Laser treatments can be directed at certain characteristics of burn scars. Some lasers can help decrease redness and visible blood vessels, and fractional laser treatments can help texture and stimulate remodeling of scars. Laser therapy shall be administered by a qualified individual who is knowledgeable in the use of lasers.
Surgical Scar Revision
Surgical revision is an option for severe scars, especially those that impair motion, such as contractures. The aim is to free up the tight scar tissue, enhance function and achieve a more desirable contour. Surgery is usually recommended if non-surgical methods are ineffective.
Caring for Burn Scars at Home
After the skin is healed, it’s necessary to protect the scar from sunlight. Discoloration may be more prominent with sun exposure, and could impact the development of scar tissue. Broad-spectrum sunscreen and according to the professional recommendations after care, the area can be protected.
Healed skin may also feel better and be less dry when moisturized. Products should not be used on partially or fully opened burns, unless advised by a health care provider.
Choosing the Right Approach
The effects of burns are different for everyone and there is no one treatment that works for all. Early professional evaluation can aid in the recognition of problem scar formation and the selection of the most suitable treatment – silicone therapy, pressure treatment, injections, laser therapy, surgery or a combination of therapies.
Over time, many people can successfully get smoother, more flexible and less obvious scars from burns with consistent care and the proper treatment plan.