Burn Scars
Advanced reconstruction of tissues affected by burns and pathological scarring.
Burn Scars and Sequelae
Burns can leave significant sequelae that go beyond aesthetic appearance. Hypertrophic scars, keloids, and contractures can cause pain, itching, restricted movement, and a profound psychological impact on affected patients.
Dr. Geldres, as a plastic and reconstructive surgeon, has extensive experience treating burn sequelae, offering solutions that restore both function and appearance of affected tissues.
Types of Sequelae
- Hypertrophic scars: Raised, red, thick scars confined to the area of the original injury
- Keloids: Scars that grow beyond the boundaries of the original injury
- Contractures: Bands of scar tissue that limit joint movement or distort facial structures
- Pigmentation changes: Areas of lighter skin (hypopigmentation) or darker skin (hyperpigmentation)
- Cicatricial alopecia: Hair loss in affected scalp areas
Treatment Options
The approach is personalized based on the type, extent, and location of the sequelae:
- Contracture release: Incision and tissue repositioning to restore joint movement
- Local and regional flaps: Transfer of adjacent healthy tissue to cover scarred areas
- Skin grafts: Transplantation of skin from a donor site to cover extensive areas
- Tissue expanders: Implanted devices that generate additional skin for reconstruction
- Combined treatment: Laser, corticosteroid injections, and pressure therapy as adjuncts
Frequently Asked Questions
Can burn scars be completely removed?
Complete scar removal is not possible, but reconstructive surgery can dramatically improve their appearance, texture, and function. The goal is to achieve a flatter, smoother scar that matches the surrounding skin color as closely as possible, and to restore any movement limitations.
When is the best time to treat scars?
Generally, a waiting period of 12 to 18 months after the burn is recommended for complete scar maturation. However, contractures that limit movement or affect growth in children may require earlier intervention.
How many surgeries are needed?
It depends on the extent and severity of the sequelae. Some cases can be resolved in a single surgery; others, especially those with extensive contractures or multiple affected areas, require a multi-stage surgical plan spaced over time.
Can old scars be treated?
Yes. Burn scars can be surgically treated regardless of their age. Even decades-old scars can benefit from modern reconstructive techniques that significantly improve both appearance and function.