Therapy and removal treatments are often expensive
invasive, and are only relevant for deep 2nd
Degree Burns or 3rd Degree Burns that
leave disfiguring or disabling Scar
Contractures. The main concerns are Hypertrophic Scars
and Keloid Scars
My worst disfigurement
on my face was a contracture under my bottom lip on the left side of my
mouth. It pulled that side of my mouth down by about 12mm (1/2 inch).
The only scar therapy that would work would be by a full thickness skin
That was done several months after my discharge from the burns
ward. The skin was taken from my right cheek, and that wound was closed
with sutures. A few months after the graft had healed I noticed
whiskers growing from the graft, UPWARDS.
The 14 X 8 mm piece of full thickness skin had been grafted Upside Down.
I had a bit of fun with the plastic surgeon who did the job, saying
that a woman couldn't be expected to worry about whiskers. The fact was
tho', hair follicles usually die when grafted, but as I healed up
particularly quickly, mine didn't.
I had two scar contactures
on my left hand that needed relieving, one at the base of my thumb,
causing my hand to be cocked inwards, and another between my thumb and
first finger which had formed as webbing (Like a Duck's Foot).
The former was relieved by a full thickness graft taken from the inside
of my right upper arm, and the webbing was fixed by a procedure called 'Z Plasty',
a very clever little piece of Scar Therapy surgery where an incision in
the skin is
made in the shape of a 'Z', and the elements on opposite sides of the'
Z' are transposed.
are made of an elasticised fabric which is specially tailored to fit,
and need to be fitted when the grafted areas have healed. They will
also cover any Skin Donor Sites which could be the equivalent of a 2nd
degree burn. Besides flattening the scars out, the pressure suit also
has a restrictive effect on the supply of histamine
to the burnt areas.
A distinct spiral contracture
was forming on my left arm from my wrist, past the elbow, up to my
under arm. It was going to worsen to the point that I would not be able
to straighten the arm, so a couple of Thick Split
Skin Grafts were applied, along the line of the spiral
Overall the Scar
Therapy and surgery
did a marvelous job,
and it was many years ago. My burns scars are still apparent, but I
don't consider them disfiguring or disabling, and hardly ever think
on the scant occasions that someone does ask me about them, I feel a
special warmth toward that person, and without overloading them with
briefly tell them about it.
has led me to do the same with others who have obviously suffered some
trauma. Wheelchair, Prosthetic limbs or whatever, and I am sure that my
discreet enquiry has evinced the same response in every case.
Home Remedies. I cannot speak to the
effectiveness of home remedies for scar therapy, never having used
them, except for the use of Pure Aloe Vera
liquid on the Hypertrophic Scars on my arm
and ribs. I found that persistent use kept the scars soft so that the Pressure Garment was able to do it's job better.
This is just my observation and I cannot back it up with any proper
data. The only Keloid Scar showed up on my cheek where a piece of full
thickness skin was taken for my lip, this was later excised and has not
Superficial Burns, and shallow 2nd Degree Burns.
These do not usually result in scars, and will heal inside of a week,
but they can be very painful, and any dressing or ointment that can
exclude air currents from causing pain is worth while.
the interests of completeness of this report, I pass along an old
'Cure' which just might do the trick. This treatment
has not been officially approved, so consult your doctor before
trying this, or any other any home remedy.
vera, honey and vitamin c tablets.
mixture of natural aloe vera gel, honey and crushed vitamin c tablets
can be applied to burn scars to help reduce their appearance over
time. To make and use this mixture, crush one vitamin c tablet in a
mortar and pestle and combine it with 1 tbsp. Natural honey in a
small container or bowl, and mix thoroughly. Gently massage a small
amount of the mixture on the burn scar and leave it on for 30 minutes
or until almost dry. Rinse the skin with cool water and wash with a
gentle moisturizer. This treatment can be repeated twice per day as
long as it does not irritate your skin or cause extreme redness, and
unused portions can be kept in the refrigerator for 48 hours.