Facial Burns in Children: Severity, Treatment, and Scar Management

Facial burn

Hello: My daughter is three years old and a few days ago she got burned by incense.
The burned area appears dead white, is sunken, and doesn't hurt much.
Could you please tell me what degree of burn this is? The wound is about 0.5 cm in diameter.
I'm also concerned about how large the scar might be in the future.
I have seen two doctors; one prescribed Betaderm ointment and the other prescribed Aikangming eye ointment.
Which of these two medications is better? Since she is so young, I am worried about unsightly scars.
Can I apply silicone gel for scar treatment after the wound has completely healed and scabbed over?

cynthia, 30~39 year old female. Ask Date: 2009/06/02

Dr. Lu Daokuan reply Plastic Surgery

For burns that may be classified as 2nd to 3rd degree, both types of ointments are effective in the initial stages.
Once the wound stabilizes, a synthetic skin should be applied for 6 months for a wound size of 0.5 centimeters.

Reply Date: 2009/06/02

More Info

When it comes to understanding facial burns in children, particularly in the case of your three-year-old daughter who suffered a burn from incense, it is essential to assess the severity of the burn, the appropriate treatment options, and strategies for scar management.

Based on your description, the burn appears to be a second-degree burn. Second-degree burns typically present with a white or red appearance, blistering, and may be painful. The fact that the area is described as "dead white" and "depressed" suggests that the burn has affected deeper layers of the skin, which is characteristic of second-degree burns. The size of the burn, approximately 0.5 cm, is relatively small, which is a positive factor in terms of healing and potential scarring.

In terms of treatment, it is crucial to follow the advice of healthcare professionals. The two medications prescribed—Betaderm (a topical corticosteroid) and Aikamin (an antibiotic ointment)—serve different purposes. Betaderm can help reduce inflammation and promote healing, while Aikamin can prevent infection. Both medications can be effective in the initial stages of treatment, but it is essential to monitor the burn for any signs of infection or complications.

Regarding scar management, it is generally recommended to wait until the wound has fully healed before applying silicone gel sheets or other scar treatment products. This is because applying products too early can irritate the healing tissue and potentially worsen scarring. Once the wound has closed and any scabs have fallen off, you can start using silicone gel sheets, which have been shown to be effective in reducing the appearance of scars. It is advisable to use these products consistently for several months to achieve the best results.

In addition to topical treatments, there are other factors to consider for scar prevention. Keeping the area moisturized can help promote healing and reduce the risk of scarring. Additionally, protecting the area from sun exposure is crucial, as UV rays can darken scars and make them more noticeable. Using sunscreen on the healed area can help prevent this.

It is also important to note that children’s skin has a remarkable ability to heal, and many minor burns do not result in significant scarring. However, every individual heals differently, and factors such as age, skin type, and the depth of the burn can influence the final appearance of the scar.

If you notice any changes in the burn site, such as increased redness, swelling, or discharge, it is essential to consult a healthcare professional promptly. They can provide further evaluation and treatment options if necessary.

In summary, your daughter's burn appears to be a second-degree burn, and the prescribed treatments should be followed as directed. Wait until the wound has fully healed before applying silicone gel sheets for scar management. Keep the area moisturized and protected from the sun to promote optimal healing and minimize scarring. With proper care, many children experience excellent healing outcomes, and the appearance of scars can be significantly reduced.

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