Patches, microsurgery and laser: so you will erase the scars left by burns.
Not all of the scalds and burns leave scars: in the case of the first and second degree burns, it is possible that there are no lesions on the skin. The problem is instead with third-degree burns, accompanied by the presence of bubbles or blisters (vesicles containing serum).
In the case of a severe burn the first few minutes are essential to preserve the skin. The bubble must be punctured with a sterile needle and pressed with a clean cloth to expel the liquid. But woe to remove the skin, it’s very important to cool the burned part under cold running water for about fifteen minutes.
Before bandaging, not too tight, the part must be treated with an oily cream, such as Vaseline or Gentamicin. The burnt skin is very delicate and should be rigorously protected from the sun even after a few months of the burn.
The Ambulatory Treatments
In the case of fresh scars that form i.e., immediately after the healing of acute burn injuries. You may use two outpatient treatments. Both of these principals should be used for several months and under the periodic supervision by a medical specialist.
Use of elastic compression sleeves: made to measure, exert a discrete and continuous pressure on the scar obstructing the tendency to hypertrophy (overgrowth).
Application of sheets of silicone in the form of solid gel (special patches) that tend to shape the scars making them acquire a better morphological appearance.
Anyone wishing to reduce the visual impact of their scars can be used (in hospitals and specialized centers) to other procedures as below lists, which may make the scars less obvious, but never eliminate them completely. Be careful to choose with care, the professional to whom you are targeting, because it is still surgery.
- Lipofilling: This is a relatively recent technique, but now consolidated which consists in taking subcutaneous adipose tissue from the same patient and injecting it, after a purification treatment, below the scars. This operation allows you to model the scar itself, to give it a better morphological appearance and, above all, to restore the functionality of the parties involved in the burn. The procedure can be repeated several times in the case of large scars.
- Skin grafts and skin flaps: They are the most traditional techniques that consist in removing the scars and in covering the affected areas with healthy skin grafts taken from the same patient.
- Cutaneous expansion : Consists of implanting the skin expander under the healthy skin and close to the scar. These devices, formed of an elastic material and similar to the balloons are inflated with the fluid (saline solution): their expansion progressively dilates to the healthy skin that is then used to repair the surface left uncovered by the removal of the scar.
- Microsurgery: If the scar is located in a noble part of the body (face, neck, joints) it is preferred to perform surgery with removal of autologous skin flaps (of the same patient) from less visible areas of the body and transfer them on the scar areas by replanting micro vascular (using the operating microscope).
The mature scars, which occur at a distance from the traumatic event, can be further improved with laser therapy. Also in this case it is recommended to rely on centers or professional experts in the field. Here are the actions outlined by the expert:
- Neodymium-YAG laser: The effect of the heat concentrated on the small blood vessels (capillaries) resulting in the closure and then the color pink or red-blue fades or disappears. You can do a treatment every two months and should be continued for 4-6 sessions. The cost of each operation is about 400 Euros or 500 U.S. dollars.
- Erbium laser ablation: This is an optical cutter that vaporizes thin layers from keloid scars (thick skin and reactive). One or two sessions can cost 1200-2000 U.S. dollars each.
- Intralesional infiltration: It’s using a solution of cortisone that gradually reduces the keloid. Treatment includes 3 or 4 sessions to be repeated every two months. Cost: 400 U.S. dollars or 300 Euros per session.
The engineered skin that they prepare in laboratories offers great advantages in the acute phase of the burn, especially when we have to rebuild large areas of skin destroyed by thermal injury. But there is not usually used in the treatment of scarred skin that is hesitant after healing of the wounds from burns.