Is It a Burn? Managing Heat-Related Injuries from Cosmetic Procedures - Plastic Surgery

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Should it be considered a burn?


Last week, I had a thermoplastic film heated to about 70-80 degrees Celsius applied to my forehead for over five minutes.
I thought I could endure it because it was necessary for shaping (the head), so I tried not to move.
However, afterward, the area that was burned was painful all night and showed signs of redness and swelling.
There was a small area that broke the skin, which has now scabbed over, but it seems to be showing slight signs of pus.
What should I do? Previously, I applied a little antiseptic ointment, and for the past few days, I have been disinfecting the scabbed area with iodine.

Ou Lao, 20~29 year old female. Ask Date: 2003/12/22

Dr. Lu Daokuan reply Plastic Surgery


A red and swollen burn is classified between first and second degree.
For the forehead, iodine-containing medications are typically not applied; instead, an ophthalmic ointment can be used, applied twice daily until healing is complete.

Reply Date: 2003/12/22

More Info


When it comes to managing heat-related injuries, particularly burns from cosmetic procedures, it’s essential to understand the nature of the injury and the appropriate steps for treatment. Based on your description, it sounds like you experienced a burn from a heat plastic film that was applied to your forehead at a temperature of around 70-80 degrees Celsius for an extended period. This type of exposure can lead to first-degree or second-degree burns, characterized by redness, swelling, pain, and in some cases, blistering.


Understanding the Severity of Your Burn
1. First-Degree Burns: These affect only the outer layer of skin (epidermis) and typically present with redness, minor swelling, and pain. They usually heal within a few days without scarring.


2. Second-Degree Burns: These extend deeper into the skin (dermis) and can cause more significant pain, swelling, and blistering. They may take longer to heal and can sometimes lead to scarring.

Given that you mentioned redness, swelling, and some broken skin, it’s likely you are dealing with a second-degree burn. The presence of a scab and a bit of pus suggests that there may be some infection or at least a risk of infection, which is not uncommon in burns.


Immediate Care Recommendations
1. Avoid Irritants: It’s crucial to avoid applying any irritating substances to the burn area. While iodine can be effective for disinfecting, it may also irritate the skin, especially on sensitive areas like the forehead. Instead, consider using a mild antiseptic that is less harsh.

2. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid scrubbing the burn, as this can exacerbate the injury.

3. Moisturize: After cleaning, apply a non-irritating moisturizer or a specialized burn ointment. Products containing aloe vera can be soothing and help with healing.

4. Monitor for Infection: Since you mentioned some pus, it’s essential to keep an eye on the area for signs of infection, such as increased redness, swelling, warmth, or fever. If these symptoms worsen, seek medical attention promptly.

5. Avoid Picking at Scabs: Allow the scab to fall off naturally. Picking at it can lead to scarring and increase the risk of infection.

6. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.


When to Seek Medical Attention
If you notice any of the following, it’s important to consult a healthcare professional:
- Increased redness or swelling around the burn
- Pus or other drainage from the wound
- Fever or chills
- Severe pain that is not relieved by over-the-counter medications
- Any signs of systemic infection

Conclusion
In summary, managing heat-related injuries from cosmetic procedures requires careful attention to the wound and proactive measures to promote healing and prevent infection. Given the nature of your injury, it’s advisable to avoid harsh treatments and focus on keeping the area clean and moisturized. If you have any concerns about the healing process or notice signs of infection, don’t hesitate to reach out to a healthcare provider for further evaluation and treatment.

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