Burn Scars: Healing, Symptoms, and When to Seek Help

Burn wound

Hello, I had a burn injury 4 to 5 years ago, but I didn't see a doctor.
I only applied ointment for the first few months, and I haven't used any medication since then.
I often feel itching and tingling around the burn area, and recently, some small wounds have suddenly appeared near the scar.
I would like to know if a burn scar will heal on its own if left untreated.
Also, which type of hospital and department should I visit for the above condition?

Hu, 10~19 year old female. Ask Date: 2022/02/04

Dr. Wu Yuxin reply Dermatology

Once a scar has formed, it can only be faded and may not completely disappear.
If there are any concerns, it is advisable to consult a dermatologist first.

Reply Date: 2022/02/04

More Info

Burn scars can be a complex issue, especially when they are not properly treated in the initial stages. Based on your description, it sounds like you have experienced a second-degree burn that has led to persistent symptoms such as itching and pain around the scar. Additionally, the appearance of small wounds near the scar is concerning and warrants further evaluation.

Understanding Burn Scars
Burn scars can develop as a result of the body’s healing process after a burn injury. The severity of the burn, the depth of the injury, and how well the wound was managed initially all play significant roles in the healing process. Second-degree burns affect both the outer layer of skin (epidermis) and the underlying layer (dermis), leading to symptoms such as redness, swelling, pain, and blistering. Healing can take several weeks, and the resulting scar may be sensitive, itchy, or painful.

Symptoms and Healing Process
Itching and pain around a burn scar are common as the skin heals. This can be due to nerve endings regenerating or the skin stretching as it heals. However, the appearance of new wounds or changes in the texture of the scar can indicate complications such as infection or abnormal healing, such as hypertrophic scars or keloids. These conditions can lead to further discomfort and may require medical intervention.

Self-Healing of Burn Scars
While some burn scars may improve over time without treatment, it is not guaranteed that they will heal completely on their own. Factors such as the age of the scar, the individual’s skin type, and overall health can influence healing. If the scar is causing significant discomfort, or if you notice changes such as increased redness, swelling, or discharge, it is advisable to seek medical attention.

When to Seek Help
Given your symptoms, it would be prudent to consult a healthcare professional. You should consider visiting a hospital or clinic that specializes in dermatology or plastic surgery. These specialists can assess the scar, determine if there are any underlying issues, and recommend appropriate treatments. Treatment options may include topical medications, silicone gel sheets, or even surgical interventions if the scar is particularly problematic.

Recommendations for Care
In the meantime, here are some general recommendations for managing burn scars:
1. Moisturization: Keep the scar moisturized with appropriate creams or ointments to help reduce itching and improve the appearance of the scar.

2. Sun Protection: Protect the scar from sun exposure, as UV rays can darken scars and make them more noticeable. Use sunscreen with a high SPF or cover the scar with clothing.

3. Avoid Scratching: Try to avoid scratching the area, as this can lead to further irritation or infection.

4. Gentle Cleansing: Clean the area gently with mild soap and water to prevent infection.

5. Monitor Changes: Keep an eye on the scar for any changes in color, size, or texture, and report these to your healthcare provider.

Conclusion
In summary, while some burn scars may improve over time, persistent symptoms such as itching, pain, and the appearance of new wounds should not be ignored. It is essential to seek medical advice from a dermatologist or plastic surgeon who can provide a thorough evaluation and tailored treatment plan. Early intervention can help manage symptoms and improve the overall appearance of the scar, enhancing your quality of life.

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