Best Timing for Scar Treatment on Burn Wounds: Expert Insights - Dermatology

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Burn scar treatment


I would like to ask you, I heard an expert say that applying scar treatment products immediately on acne wounds is not beneficial for wound healing.
Scar treatment products should be used only after the wound has healed.
However, I have also heard that scar treatment products are most effective when used during the healing phase (meaning the wound may not be completely healed yet).
My question specifically pertains to burn wounds.
Should scar treatment products be applied only after the burn wound has healed, or is it appropriate to use them during the late healing stage? Or can both approaches be valid? Thank you.

yi, 30~39 year old female. Ask Date: 2020/02/03

Dr. Wu Yuxin reply Dermatology


Use it after healing.

Reply Date: 2020/02/03

More Info


When it comes to scar treatment for burn wounds, timing is crucial for optimal healing and minimizing scar formation. The consensus among medical professionals is that the application of scar treatment products should be carefully timed based on the healing stage of the burn wound.

Burn wounds, particularly second-degree burns, undergo a specific healing process that can be divided into several phases: inflammation, proliferation, and maturation. During the inflammation phase, which typically lasts for a few days, the body works to control bleeding and prevent infection. This is not the right time to apply scar treatment products, as the wound is still open and healing is just beginning.

Once the wound has progressed into the proliferation phase, which can last from a few days to several weeks depending on the severity of the burn, the body starts to form new tissue. At this stage, the wound may still be healing, but it is also when the skin begins to regenerate. Some experts suggest that this is an appropriate time to start using scar treatment products, as they can help to improve the appearance of the skin as it heals. However, it is essential to ensure that the wound is not open or actively weeping before applying any topical treatments.

The maturation phase follows, which can last for months to years. During this phase, the new tissue continues to remodel and strengthen. It is generally accepted that once the skin has fully closed and is no longer at risk of infection, scar treatment products can be applied more liberally. This is when silicone gels, sheets, or other scar-reducing treatments can be most effective, as they help to flatten and soften the scar tissue.

In summary, for burn wounds, it is advisable to wait until the wound has fully healed before applying scar treatment products. However, if the wound is in the later stages of healing and is no longer open, some treatments may be beneficial during the proliferation phase. It is crucial to consult with a healthcare provider or a dermatologist for personalized advice, as they can assess the specific condition of the burn and recommend the best course of action.

Additionally, it is important to maintain proper wound care throughout the healing process. This includes keeping the wound clean, using appropriate dressings, and avoiding sun exposure, which can worsen scarring. Once the wound has healed, protecting the area from UV rays is essential, as newly healed skin is more susceptible to pigmentation changes.

In conclusion, the best timing for scar treatment on burn wounds is after the wound has fully healed, but some products may be beneficial during the later stages of healing. Always consult with a healthcare professional for tailored advice and to ensure that the treatment plan is safe and effective for your specific situation.

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