Burn Injuries: Healing, Scarring, and Aftercare Tips

Burn injury issues

Hello, I previously burned my calf on an exhaust pipe, and I have been using artificial skin to cover the wound.
The wound has mostly healed now; it doesn't hurt or itch, but it is still red.
Is that a scar, or is it just because it is newly healed? Do I still need to use artificial skin? If not, how should I care for the wound moving forward? Can I apply body lotion to the area now?

Xiao Yue, 20~29 year old female. Ask Date: 2018/01/30

Dr. Wu Yuxin reply Dermatology

Have you consulted a doctor? If so, I recommend that you speak with your attending physician, as they are the most familiar with your condition.

Reply Date: 2018/01/30

More Info

Hello Jack,
Thank you for your question regarding burn injuries and their aftercare. It’s great to hear that your burn wound is healing well and that you are experiencing no pain or itching. However, the redness you are observing is a common occurrence during the healing process and can be attributed to several factors.

When a burn injury occurs, the skin undergoes a complex healing process. Initially, the body responds to the injury by increasing blood flow to the area, which can cause redness and swelling. This is part of the inflammatory response, which is essential for healing. The redness you see may be due to new blood vessels forming in the area as the skin repairs itself. This phase can last for several weeks, and it is not uncommon for the skin to remain red even after the wound has closed.

As for whether the redness indicates scarring, it is important to note that scars can take time to mature. Initially, a scar may appear red or darker than the surrounding skin, but over time, it typically fades to a lighter color. The duration for this process varies from person to person and can depend on factors such as the depth of the burn, individual healing responses, and skin type.

Regarding the use of artificial skin (such as silicone gel sheets or other types of dressings), it is generally recommended to continue using them until the wound is fully healed and the skin has returned to a more normal appearance. If the wound is closed and you are no longer experiencing pain or discomfort, you may consider transitioning away from artificial skin. However, it’s advisable to consult with your healthcare provider for personalized recommendations based on the specifics of your injury.

Once you discontinue the use of artificial skin, proper aftercare is crucial to promote healing and minimize scarring. Here are some tips for caring for your healing skin:
1. Moisturization: Keeping the skin moisturized is essential. You can use a gentle body lotion or a specialized scar cream. Look for products that contain ingredients like silicone, which can help in reducing the appearance of scars. Apply the lotion regularly to keep the skin hydrated.

2. Sun Protection: Newly healed skin is particularly sensitive to sunlight. It’s important to protect the area from sun exposure, as UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the area when exposed to sunlight.

3. Gentle Cleansing: When washing the area, use mild soap and avoid scrubbing the skin. Pat the area dry gently with a clean towel.

4. Avoid Irritants: Be cautious with products that contain fragrances or harsh chemicals, as these can irritate the healing skin.

5. Massage: Once the skin has fully healed, gentle massage of the scar tissue can help improve its appearance. This can be done with lotion or oil, using circular motions.

6. Monitor Changes: Keep an eye on the healing process. If you notice any changes such as increased redness, swelling, or discharge, or if the area becomes painful, consult your healthcare provider.

In summary, the redness you are experiencing is likely a normal part of the healing process and may not necessarily indicate scarring. Continue to care for the area with moisturizers and sun protection, and consult with your healthcare provider for tailored advice on transitioning away from artificial skin and managing your aftercare effectively.
Best wishes for your continued healing!

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