Wound and Burn Treatment

The first principle in the treatment and elimination of wound and burn scars is to wait for the scar to mature. In other words, the wound must complete its healing process. This period is at least 6 months. Scars that are red, raised from the skin, and sometimes itchy are the most disturbing ones. These characteristics indicate that the scar has not yet matured. Some scars heal irregularly beyond their borders. Especially in fragmented incisions, the uneven suturing of skin pieces during stitching creates differences in levels and irregular surfaces.

What is the surgical method?

The main method in treatment is again the removal of scar tissue by cutting around the scar slightly and re-stitching it with fine stitches. Another factor that affects the poor healing of scars is tension. The more tense the stitch line is, the worse the scar will be later on. Re-cutting and stitching wide scars in tense areas may not yield good results because the area that is already tense will become even more tense after the scar is removed. So, it may not be logical to correct every scar.

In this case, one way to reduce tension is the “tissue expansion” method. In this method, a special balloon made of silicone is placed under the skin near the area where the scar is located. After a while (15 days) after the surgery, the balloon is slowly inflated by injecting physiological serum into the chamber placed under the skin. As the balloon inflates, it expands and enlarges the skin above it. After sufficient expansion, the balloon is removed in the second surgery. After the scar is removed, the enlarged skin allows the area to be closed and repaired without tension.

What is the duration of surgery and treatment?

The diagnosis and treatment time in correcting wound and burn scars can vary depending on each scar.