Burns remain one of the most common injuries, and the majority of these are relatively minor.
This silent majority is often self-managed at home, at the General Practice, or perhaps with a quick visit to the emergency room. Whilst the functional outcome in these may be excellent, they can also result in itch, feeling of tightness, pain, and a difference in appearance. This difference in appearance may be due to colour (darker, lighter or mixed), differences in contour (raised or at times even sunken) and skin texture, and moisturisation.
The Celikkaya Clinic offers a number of cutting-edge techniques to improve on these issues, including:
In certain cases, surgery
Needle-less injections are possible with our state-of-the-art Dermojet™ kit (high-pressure air devices)
Dermojet is a state-of-the-art high-pressure air jet device that allows the expert surgeon to introduce various medications at the right depth within the skin layers. It precisely controls the volume, depth and nature of the substance injected achieving a painless, precise, even distribution. By varying the medications it can be used to improve sunken, as well as raised scars, as well as itch and pain within the scar, and improve the overall appearance of skin that has needed skin grafting. Dermojet can be used to plump up this kind of result providing increased dermal thickness, and pliability to skin.
Types of Scar
HYPERTROPHIC OR KELOID BURNS SCARS
At times the burn process consumes all the structures in the skin, and the scar may be contracted, may develop hypertrophic or keloid scars. These present a complex challenge. At the clinic, a team of experts are at hand to assist with cosmetic complications of such scars and their subsequent management. At times, scars become hypertrophic, red raised and itchy, whilst keloid scars will also extend to involve pristine skin. In these cases, internationally recognised treatment protocols, including medication with steroids, fluorouracil, are required to reduce and mature such scars. Less commonly, the scar becomes sunken and tethered. Colour changes are also common in these injuries. This may be because of exposure to sunlight, because of intrinsic scar discolouration, previous necessary treatments (including with injections) and formation of tiny blood vessels in the skin. Further, in burns that have been previously treated with expanded skin grafts, a troublesome honeycomb appearance may arise.
DISCOLOURATION IN SCARS
In addition, or independently, burns scars can also suffer from changes in colour. A suite of preventative and treatment options are available including advice regarding sun protection, skin lightening creams and protection, on to laser and light therapies, which may address darker pigmented vascularised skin.
It is important to have realistic expectations in the management of these conditions, therefore it is essential to prioritise concerns in agreement with your consultant, maybe longer-term treatment. An intensive post-therapeutic regime is important and may include pressure garments, topical creams, special moisturisers, sun protection factor, and at times also oral medication.