Burn Blisters: Healing and Skin Changes Explained - Dermatology

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Burns


Hello, I would like to ask about blisters that formed after a burn.
I applied medication, and it is healing, but the skin is still red.
What does this mean? Only the area with blisters is like this; the other areas without blisters are not.
Thank you!

Wan Ling, 20~29 year old female. Ask Date: 2003/05/14

Dr. Zheng Lizhen reply Dermatology


Hello! When a wound is healing, there are more newly formed blood vessels, which is why it appears red.
Over time, this redness will fade.
Best wishes for health from Dr.
Cheng Li-Chen, Dermatology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/05/14

More Info


Burn blisters are a common response to second-degree burns, which affect both the outer layer of skin (epidermis) and the underlying layer (dermis). When the skin is burned, the body reacts by forming blisters as a protective mechanism. These blisters are filled with fluid, which helps to cushion the damaged tissue and promote healing.
The redness you are observing around the blistered area is a normal part of the healing process. This redness, known as erythema, occurs due to increased blood flow to the area as your body works to repair the damaged skin. The body sends white blood cells and nutrients to the site of injury, which can cause the surrounding skin to appear red and inflamed. This is a sign that your body is actively healing, although it can be concerning to see.

As for the blisters themselves, it is crucial not to pop them, as they serve as a natural barrier against infection. If a blister breaks, it can expose the underlying skin to bacteria, increasing the risk of infection. If the blister remains intact, it will eventually dry out and fall off on its own as the skin underneath heals.
In terms of treatment, it is essential to follow your healthcare provider's instructions. Applying topical medications, such as antibiotic ointments or specific burn creams, can help prevent infection and promote healing. However, if you notice increased redness, swelling, or any discharge from the blister, it may indicate an infection, and you should seek medical attention promptly.

Regarding the healing process, the skin may take time to return to its normal color and texture. The redness may persist for several weeks or even months, depending on the severity of the burn and individual healing factors. Over time, as the skin heals, the redness should gradually fade. However, in some cases, the skin may remain slightly discolored or have a different texture compared to the surrounding skin. This is particularly true for deeper burns, which can lead to scarring.

To support the healing process, consider the following tips:
1. Keep the area clean: Gently wash the area with mild soap and water to prevent infection.

2. Moisturize: Keeping the area moisturized can help with healing and reduce the risk of scarring. Use a recommended ointment or cream.

3. Avoid sun exposure: Protect the healing skin from sun exposure, as it can lead to further discoloration. Use sunscreen or cover the area when outdoors.

4. Stay hydrated: Proper hydration supports overall skin health and healing.

5. Monitor for signs of infection: Be vigilant for increased redness, swelling, warmth, or pus, which may indicate an infection requiring medical intervention.

In summary, the redness around your burn blister is a normal part of the healing process, indicating that your body is working to repair the damaged skin. Follow your healthcare provider's advice, keep the area clean and moisturized, and monitor for any signs of complications. If you have any concerns or if the condition worsens, do not hesitate to seek further medical advice.

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