Is My Burn Healing Properly? Symptoms and Scar Treatment - Dermatology

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Is there a problem with this burn?


Hello, doctor.
Last week, I got splashed with hot oil on my finger.
Initially, blisters formed, and I went to see a doctor who prescribed medication and advised me to apply a thick dressing.
Now the blisters have subsided, but the skin is dark and feels hard to the touch.
Sometimes it itches as well.
Is this normal? Do I need to apply scar treatment medication? Here is the picture: https://drive.google.com/file/d/1JgC0cIkoNYCFAwlav9-kl7yEvkezcj7G/view?usp=drivesdk

Li, 10~19 year old female. Ask Date: 2022/09/20

Dr. Wu Yuxin reply Dermatology


Online consultations may not resolve your issue; it is recommended that you seek treatment from a dermatologist as soon as possible.

Reply Date: 2022/09/20

More Info


Burn injuries can be quite complex, and understanding the healing process is crucial for proper recovery. Based on your description, it sounds like you sustained a second-degree burn from hot oil, which typically affects both the outer layer of skin (epidermis) and the underlying layer (dermis). The symptoms you're experiencing—such as the presence of blackened skin, hardness, and occasional itching—are common during the healing process of second-degree burns.


Healing Process of Second-Degree Burns
1. Initial Phase: After the injury, the area may develop blisters filled with fluid, which is a natural response to protect the underlying tissues. It's important not to pop these blisters, as they serve as a barrier against infection.

2. Inflammatory Phase: As the burn begins to heal, the body initiates an inflammatory response. This phase can last several days and is characterized by redness, swelling, and pain. The skin may appear darker due to the formation of new tissue and the healing process.

3. Proliferative Phase: This phase involves the growth of new tissue. The blackened areas you mentioned could be a result of necrosis (tissue death) or simply the formation of new skin that has not yet fully healed. The hardness you feel is likely due to the formation of scar tissue, which is a normal part of the healing process.

4. Maturation Phase: This phase can last for months to years, during which the scar tissue will continue to remodel and may become softer and less noticeable over time. Itching is also common during this phase as the skin heals.


When to Seek Medical Attention
While some changes in the skin are normal, you should monitor the burn for any signs of infection, such as increased redness, swelling, pus, or a fever. If you notice any of these symptoms, or if the pain worsens, it’s important to consult your healthcare provider.


Scar Treatment
Regarding the use of scar treatment products, it is generally advisable to wait until the burn has fully healed before applying any topical treatments. Once the skin is closed and there are no open wounds, you can consider using silicone gel sheets or creams specifically designed for scar management. These products can help flatten and soften scars over time.


Additional Care Tips
- Moisturization: Keeping the area moisturized can help with itching and promote healing. Use a gentle, fragrance-free moisturizer or a burn ointment as recommended by your doctor.

- Sun Protection: Newly healed skin is sensitive to sunlight. Protect the area from sun exposure by using sunscreen or covering it with clothing.

- Avoid Scratching: While itching can be bothersome, try to avoid scratching the area, as this can lead to further irritation or infection.


Conclusion
In summary, the symptoms you are experiencing are generally normal for a healing second-degree burn. However, it’s essential to keep an eye on the healing process and consult with your healthcare provider if you have any concerns. They can provide personalized advice and treatment options to ensure your burn heals properly and to minimize scarring. Remember, patience is key, as the healing process can take time, and the skin will continue to change as it recovers.

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