Should You See a Doctor for Old Burn Scars? Expert Advice on Treatment

Burn scars

Hello, I would like to ask about a burn I sustained from a pot about a year or two ago.
At that time, I only treated it myself and did not seek medical attention.
Now, the wound has mostly healed and there is not much pain, but the scar appears somewhat dark and raised.
I often experience itching at the site, and there is some pain when I press on it.
Should I see a doctor for this? Which specialty should I consult? Or can I just go directly for laser treatment at a cosmetic clinic?

Xie xie, 10~19 year old female. Ask Date: 2021/04/10

Dr. Wu Yuxin reply Dermatology

Please see a dermatologist first.

Reply Date: 2021/04/10

More Info

When it comes to old burn scars, it is essential to evaluate the condition of the scar and the symptoms you are experiencing. Based on your description, it seems that the scar is not only discolored and raised but also itchy and somewhat painful upon pressure. These symptoms suggest that the scar may be hypertrophic or keloid in nature, which are common responses to skin injuries, including burns.

Should You See a Doctor?
Yes, it would be advisable to see a doctor, particularly a dermatologist, who specializes in skin conditions. A dermatologist can assess the scar's characteristics and determine the best course of action for treatment. They can also rule out any underlying issues that might be contributing to the pain and itching.
What to Expect During the Consultation:
During your visit, the dermatologist will likely conduct a thorough examination of the scar. They may ask about your medical history, the initial burn injury, and any treatments you have previously attempted. Based on their assessment, they may recommend several treatment options, which could include:
1. Topical Treatments: Prescription creams or ointments that contain silicone, corticosteroids, or other active ingredients may help flatten and reduce the redness of hypertrophic scars.

2. Injections: Corticosteroid injections can be effective in reducing the size and discomfort of raised scars.

3. Laser Therapy: If the scar is persistent and bothersome, laser treatments can help improve its appearance by targeting the pigmentation and texture of the scar tissue.

4. Surgical Options: In some cases, surgical revision of the scar may be necessary, especially if it is causing significant discomfort or functional issues.

5. Physical Therapy: If the scar is affecting mobility or causing pain, physical therapy may be recommended to improve function and reduce discomfort.

Considering Cosmetic Procedures:
While cosmetic procedures like laser therapy can be effective, it is crucial to consult with a dermatologist first. They can provide guidance on whether such treatments are appropriate for your specific case. Additionally, they can help you understand the potential risks and benefits of these procedures, as well as the expected outcomes.

Self-Care Measures:
In the meantime, you can take some self-care measures to manage the itching and discomfort. These may include:
- Moisturizing: Keeping the scar moisturized can help reduce itching and improve the overall appearance of the scar. Use a fragrance-free moisturizer to avoid irritation.

- Avoiding Irritants: Be cautious with products that may irritate the scar, such as harsh soaps or exfoliants.

- Sun Protection: Protect the scar from sun exposure, as UV rays can darken scars. Use sunscreen with a high SPF when exposed to sunlight.

- Avoid Scratching: Try to avoid scratching the scar, as this can lead to further irritation and potential complications.

In conclusion, while it may be tempting to seek immediate cosmetic treatments, consulting a dermatologist is the best first step. They can provide a comprehensive evaluation and recommend the most effective treatment plan tailored to your needs. Remember, proper management of scars can significantly enhance their appearance and improve your comfort.

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