Discuss your case We treat scars, contractures and tissue loss after burns of the face, neck, hands and body, restoring movement and function before appearance.
FIG. 10 / CONCEPTUAL VISUALIZATIONThis page tells us that burns are already healing and that fresh burns help with injury or burn.
Cool the burn with cool running water for 20 minutes. Remove jewelry and clothing if they have not stuck to the skin. Cover the area with cling film. Do not apply ice or oils or creams.
A child under 5 years old, a pregnant woman, someone over the age of 60 or with diabetes — to the doctor on the same day even for minor burns.
The recommendation of post-care defects is the most difficult stage of recovery after guardianship.
It is aimed at eliminating anatomical disorders: tissue deficit, loss of body fragments (ear shells, fingertips), gross facial deformations and persistent joint contractures.
A plastic surgeon is called upon when the wound has healed, but the scar (scar) pulls, itches, cracks or restricts movement, prevents you from closing your eye or opening your mouth wide, or changes your face and body in such a way that it makes life difficult. Reconstruction can be done even many years after the burn.
The specific indications, method and expected result are determined individually by the doctor after consultation and necessary examinations.
Move the slider. Open anatomic layer means damaged tissue, gold means the reconstruction performed.
The artist is direct, not a picture of the patient.
BACKGROUNDRECONSTRUCTION
FIG. 10.2 / INSTALLATION
Select the area on the figure or on the list - see what happens after custody and how it is treated.
The skin of the head without hair after custody. Large areas are closed with an expander: stretch the adjacent skin and hair, then move it to the scar. Small areas — remove or transplant hair.
Recovery of the age (ecropion), constriction of the mouth, nose and lip scars, loss of part of the earshell. The face skin is replaced with whole aesthetic areas so that the stitches lie along natural boundaries.
The ribs pull the chin to the chest and keep the head up. Scar tissue is removed, the lack of skin is covered with a graft or flap; after surgery, neck is fixed in correct position for some time.
The arm does not rise fully or break in the elbow. Most often treatment involves Z-plasty and local flaps; a skin graft is used when there is a large skin deficit. Splinting and rehabilitation follow.
Big hypertrophic scarring that pulls the skin and itchy. First conservative treatment: compression, silicone, injections. Next — partial excision, expanders, skin grafting or dermal matrices.
Fingers don't fold, fingertips lost, fingers on the palm. Z-plasty, a full-thickness skin graft, or local or free flaps; after surgery, splinting and rehabilitation are used.
The knee contract, the foot scar, the unstable scar, trembling. Scar bands are released and repaired with local flaps or grafts; an unstable scar is excised and covered with healthy tissue.
Six of the most frequently visited states, each of which has its own page with a detailed answer.
Yellow, red scars, blazing, hippertrophic remains within the wound, and the keloid is marrying them.
Treatment begins with conservative measures: silicone, compression garments, injections and laser therapy. Surgery is considered when the scar does not respond or restricts movement. Keloids often recur after excision alone, so combined treatment is used.
The ribs fold the skin and do not allow the neck, toes, elbow, knee, or arm to be completely sprained.
The scar tissue is cut or excised, and the lack of skin is covered with local flaps (Z-plastics and its variants), a skin graft or flap. After surgery, tires and rehabilitation are required, otherwise contracture may return.
Mouth recovery, nose, lip and chin scarring, neck tight.
The ectopion is a threat to the eye, so it is operated on earlier without waiting for other scars to mature. On the face, skin is replaced with whole aesthetic areas rather than patches, in order that stitches follow natural boundaries and creases.
Earshell, wing or nose tip, fingertips.
The ear is restored on a frame of own rib cartilage or an implant, the nose with flaps from neighboring tissues and the fingers with local or free flap.
Dillies on their heads where their hair doesn't grow after custody.
Large areas are most often closed with an expander: stretch the adjacent skin and hair and move it to the scar site. Small — pull out or transplant hair.
A prune that is constantly cracked, wet, or covered with wounds that aren't naked.
Such an area is always shown to the doctor: in old burn scars rarely develop skin cancer (Marjolen’s ulcer). Unstable scar is excised and closed with full-fledged tissue.
Modern plastic surgery solves these problems with the help of advanced bioengineering solutions, microsurgery and 3D modeling technologies.
Most of the reconstruction starts with them, and more sophisticated technologies connect when they're not enough.
| Method | When it is suitable |
|---|---|
| Cleaning of the scar | Narrow scarrings that can be sewn without tension |
| Z-plastics and local cables | scarring weights due to joints, contracts, washed eyelids and lips |
| Skin transplant (authodermoplastics) | large areas without naked tendons and bones; split or full-scale transplant |
| Fat grafting | Tight scars, lack of soft tissue. |
| Laser | surface, colour and toughness of the scar, itch; often with the operation |
When the defect affects deep structures (muscles, tendons, nerves), standard skin grafting is ineffective. Complex surgical methods are used.
Modern technologies allow practically to "grow" or create individual frames to replace lost volumes.
Three approaches that make up most reconstructions after burns. Golden is the tissue used to repair the defect.
The split graft takes the epidermis and part of the dermis: it covers large areas, while the donor site heals itself. Full-layered takes all the Dermis; it tightens less after healing, so it is more often used for faces and wrists, with the Donor Site sutured.
The lower layer of the matrix is a framework into which vessels grow and form new dermis; the upper silicone layer protects the wound. When the vessel has grown, the silicone is removed and a thin skin graft is placed.
A silicone balloon is placed under the healthy skin next to the scar and gradually filled over weeks. At a second stage, the Scar is excised and stretched skin is moved into its place – color, thickness and hair match with the neighboring area.
The schemes are simplified and not scaled up.
A burn is treated in an emergency or burst unit. A plastic surgeon can be involved at this stage to plan the reconstruction in advance.
The scar gradually fades, softens and flattens. During this period, compression garments and silicone are used together with rehabilitation, which can reduce the extent of future surgery.
If the scar prevents closing an eye, opening a mouth, spreading the neck or fingers, or hinders growth of the child, surgery is performed earlier without waiting for maturation: these problems only worsen over time.
After the scars have matured, there are staged operations: first what limits movement and function, then appearance. A few months usually pass between the stages.
Terms depend on the number of transactions; the exact plan is individual.
From one day to several days; after microsurgical transplants - longer, with control of blood flow in the valve. Sutures are usually removed after 7-14 days.
After contracture surgery, the joint is supported with a splint, and compression garments are worn over the scar for several months to prevent recurrent tightening.
Liquid physical stress is part of the treatment, not the supplement: without it, the contractor can return.
It is gradually filled in sessions, usually once a week, over several weeks or months. A second operation is then performed to move the stretched skin back into place.
The rune has been changing for months: full treatment can only be available in 18 months.
The value of the surgery is referred to by the doctor after the examination, depending on:
You describe the request and, if you have it, you provide the results of the previous examination and treatment.
The doctor determines what situation we are in, what circumstances we need, what we need, and what his limitations are.
It discusses the next steps, the sequence of phases and the issues of reconstruction.
The clinic is visited by patients from all over Ukraine and other countries. Send photos and extracts – the doctor will pre-evaluate your case remotely and tell you what to bring for consultation.
When did the burn happen and how was it treated?
What's the biggest obstacle: motion, pain, itch, or species?
What kind of surgery have you had since custody?
Is there a photograph and a discharge from the opium ward?
What are your chronic diseases and medications?
What do you expect from the operation?
The short answers are that what suits you is what the doctor will tell you.
Planned reconstruction is usually done after the scars have matured, approximately one year and later. Early surgery is performed if the Scar restricts movement, prevents closing an eye or opening a mouth, or interferes with child growth.
The goal of the reconstruction is to make it thinner, softer and less visible, move the suture into natural folds, and most importantly – restore movement and function.
A small scar is often corrected in one operation; the consequences of large burns are usually treated over several stages with intervals of a few months.
The laser improves the surface, color and softness of the scar and reduces itching. It does not remove skin tightening or contracture – this requires surgery. These methods are often combined.
From the patient’s own body – most often from a thigh, buttock, abdomen or behind an ear. The area is chosen by color and thickness of skin.
Yes. Scars in children can hinder growth, so they are regularly examined and sometimes operated on earlier than adults. Some operations have to be repeated as they grow.
No. Old scars can be operated on at any time if your general health permits it. Be sure to see a doctor if an old scar has started cracking, wetting or has become a wound that does not heal.
The first aid is based on NHS recommendations, and the rest are peer-reviewed methods described on the page.
Start consulting to see what questions and materials are needed for the evaluation.