Postoperative care for burns?
Hello, I previously burned my calf on an exhaust pipe, which resulted in dead skin.
After applying burn ointment, the dead skin fell off, and the wound is healing well.
However, I now have a question about whether I should continue applying the burn ointment.
The skin color is currently red.
Yesterday, I decided to stop applying it to see what would happen, and a transparent layer formed (similar to a scab, as it feels rough to the touch and the area feels tight).
After walking a few steps, that transparent layer cracked, so today I reapplied the burn ointment, and the wound looks clean again (but it is still red).
I would like to know if my new skin has already formed.
If it has, should I switch to applying petroleum jelly or lotion?
Ye Yun, 20~29 year old female. Ask Date: 2015/11/23
Dr. Li Yufen reply Dermatology
Hello: If your skin condition persists, it is advisable to consult a dermatologist nearby to assess the current status of the wound.
Based on their evaluation, you can decide whether to continue wound care or if you can start using scar gel or petroleum jelly, etc.
Thank you!
Reply Date: 2015/11/23
More Info
When it comes to post-burn care, transitioning from ointments to moisturizers is an important step in the healing process. It sounds like you have made significant progress with your burn, and it's great to hear that the dead skin has fallen off and the wound is looking good. However, the redness and the formation of a transparent layer indicate that your skin is still in the healing phase.
Typically, after a burn, the initial treatment involves using specialized ointments that help with healing, prevent infection, and keep the area moist. These ointments often contain ingredients like silver sulfadiazine or other antimicrobial agents. As the skin heals and new skin begins to form, the focus shifts to maintaining moisture and protecting the new skin.
The redness you are observing is a common sign of healing. It indicates increased blood flow to the area as your body works to repair the damaged tissue. The transparent layer you described is likely a protective barrier formed by the new skin, which is still delicate and needs care.
Here are some guidelines to help you determine when to stop using burn ointment and switch to moisturizers:
1. Assess the Healing Stage: If the burn area is no longer open or weeping and has formed new skin, it may be time to transition to a moisturizer. The new skin can be sensitive, so it’s important to treat it gently.
2. Moisturizers: Once the skin has healed sufficiently, you can start using a gentle moisturizer. Products like petroleum jelly (Vaseline) or thick creams can help keep the skin hydrated and prevent it from drying out. These products create a barrier that locks in moisture and protects the skin.
3. Avoid Irritants: When switching to moisturizers, avoid products with fragrances, alcohol, or other irritants that could aggravate the sensitive new skin. Look for hypoallergenic and non-comedogenic options.
4. Monitor for Changes: As you transition to moisturizers, keep an eye on the area. If you notice increased redness, swelling, or any signs of infection (such as pus or increased pain), it’s important to consult a healthcare professional.
5. Consult a Professional: If you are unsure about the healing process or the appropriate products to use, it’s always best to consult with a healthcare provider or a dermatologist. They can provide personalized advice based on the specifics of your burn and overall skin condition.
In summary, if your burn has healed sufficiently and new skin has formed, you can start to incorporate moisturizers into your care routine. However, if you are still experiencing tightness or discomfort, it may be beneficial to continue using the burn ointment until you feel more comfortable. Always prioritize gentle care and protection for your healing skin.
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