Your Burn: Degree, Care Tips, and Healing Options - Plastic Surgery

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Burned by a 200-degree oven?


Hello, Dr.
Lu.
Yesterday, I accidentally burned my hand while using the oven.
The wound is less than one centimeter in diameter, with a light pinkish-white center and a dark red surrounding area, and there are no blisters.
At the moment of the burn, I pulled my hand back and did not feel pain; I only experienced slight stinging when rinsing it with cold water.
There was also minimal pain when applying medication (Xinmycin).
Now, when I lightly press on the wound through a waterproof breathable bandage, there is no pain.
I would like to ask the doctor what degree of burn this is.
If I change the dressing myself, what precautions should I take? Would using a hydrocolloid dressing heal faster than a bandage with ointment? Thank you for your response!

V, 20~29 year old female. Ask Date: 2021/12/04

Dr. Lu Daokuan reply Plastic Surgery


Basically, if there is a stinging sensation on the skin after rinsing, it can be classified as a second-degree burn.
If there is no exudate, applying artificial skin afterward will promote faster healing.

Reply Date: 2021/12/04

More Info


Burn injuries are classified into three degrees based on the severity of the damage to the skin and underlying tissues. In your case, the description of your burn suggests that it is likely a first-degree burn. First-degree burns affect only the outer layer of the skin (epidermis) and are characterized by redness, minor swelling, and pain. The fact that your wound is less than one centimeter in diameter, has a pale pinkish-white center, and is surrounded by dark red skin without blisters indicates that it is superficial and not severe.


Understanding Burn Degrees
1. First-Degree Burns: These burns only affect the epidermis. Symptoms include redness, minor swelling, and pain. They typically heal within a few days without scarring.


2. Second-Degree Burns: These burns damage both the epidermis and part of the underlying layer (dermis). They can cause blisters, swelling, and more intense pain. Healing can take several weeks and may result in scarring.

3. Third-Degree Burns: These burns extend through the dermis and affect deeper tissues. The skin may appear white, charred, or leathery, and there is often no pain in the burned area due to nerve damage. Third-degree burns require medical treatment and can lead to significant scarring.


Care Tips for First-Degree Burns
Since your burn appears to be a first-degree burn, here are some care tips to promote healing:
1. Cool the Burn: If you haven't already, apply cool (not cold) water to the area for about 10-15 minutes to help reduce pain and swelling. Avoid ice, as it can further damage the skin.

2. Keep it Clean: Gently wash the area with mild soap and water. Pat it dry with a clean towel.

3. Topical Treatments: You mentioned using a topical antibiotic ointment (like Neosporin). This can help prevent infection. However, ensure that the area is clean before applying any ointment.

4. Dressing the Wound: Using a waterproof and breathable bandage is a good choice. It protects the burn from external irritants while allowing moisture to escape, which is essential for healing.

5. Avoid Irritants: Keep the area away from harsh chemicals, fragrances, or tight clothing that could irritate the burn.

6. Monitor for Infection: Watch for signs of infection, such as increased redness, swelling, pus, or worsening pain. If you notice these symptoms, seek medical attention.


Artificial Skin vs. Traditional Dressings
Regarding your question about using artificial skin versus a bandage with ointment, both methods have their advantages:
- Artificial Skin: This can provide a protective barrier and may promote faster healing by maintaining a moist environment. It is often used for more severe burns or abrasions but can also be beneficial for first-degree burns in some cases.

- Bandage with Ointment: This is a more traditional approach and is effective for first-degree burns. It allows for easy monitoring of the burn and can be changed regularly to keep the area clean.

In general, the choice between using artificial skin or a traditional dressing with ointment depends on personal preference and the specific characteristics of the burn. If the burn is healing well under the current treatment, you may continue with the bandage and ointment. However, if you feel that the healing process is slow or if you have concerns, consulting with a healthcare provider for further evaluation and recommendations would be wise.


Conclusion
In summary, your burn is likely a first-degree burn, and with proper care, it should heal within a few days. Keep the area clean, monitor for signs of infection, and choose a dressing method that you feel comfortable with. If you have any concerns or if the burn does not improve, do not hesitate to seek medical advice.

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