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Burns – Reconstructive Plastic Surgery

What Are Burns?

Burns are injuries to the skin or deeper tissues caused by heat, chemicals, electricity, friction, or radiation. 

Depending on the depth and severity, burns are classified into:

  • 1st Degree Burns: Affect only the outer layer (epidermis); typically red and painful
  • 2nd Degree Burns: Involve the dermis layer; cause blisters, swelling, and severe pain
  • 3rd Degree Burns: Extend through all skin layers and sometimes tissues; may appear white, charred, or leathery with reduced pain due to nerve damage

At Elegance Clinic, we offer both acute burn care and reconstructive surgery to help patients regain function, appearance, and confidence.

When is Burn Treatment Needed?

Seek medical help if you experience:

  • Severe or widespread burns
  • Burns to the face, hands, feet, genitals, or major joints
  • Burns showing signs of infection (pus, odour, fever)
  • Nonhealing wounds or contractures after healing
  • Scars or deformities due to prior burns
  • Hyperpigmentation or post-burn vitiligo

Post-laser burn treatment requirements

Types of Burns and Conditions Treated:

Acute Burns

  • Thermal Burns:
    • Flame burns
    • Scald burns (hot liquid/steam)
    • Contact burns (hot objects)
  •  Chemical burns: From acids, alkalis or solvents
  • Electrical burns: Often deeper and more severe internally
  •  

Post-Burn Sequelae (Burns)

We specialise in managing the complications that arise after burns heal, such as:

  • Hypertrophic scars
  • Keloids
  • Nonhealing wounds
  • Contractures of the:
    • Hand, fingers
    • Axilla (underarm)
    • Elbow, knee
    • Neck, lip, and mouth

Secondary Deformity Corrections

  • Ectropion of eyelids
  • Ear deformity due to burns
  • Port-burn alopecia (hair loss due to scalp burn)
  • Pigmentation issues – hyperpigmentation or post-burn vitiligo

Pre-Treatment Protocol

Your consultation at Elegance Clinic includes:

  • Thorough wound and scar assessment
  • Burn history and prior treatment review
  • Grading of burn depth and complications
  • Photography and documentation of deformities
  • Customised treatment plan, medical, surgical, or both
  • Pre-surgical health screening, if reconstruction is needed

Treatment Process: How We Treat Burns

Depending on severity and stage, our burn treatment involves:

For Acute Burns:

  • 1st Degree Burn Treatment:
    • Topical cooling, 1st degree burn home treatment
    • Moisturising, pain relief, and sun protection
  • 2nd Degree Burn Treatment: (second degree burn treatment)
    • Wound cleaning and burn wound dressing
    • Antibiotic creams, sterile bandaging
    • Fluid management, nutritional support
  • 3rd Degree Burn Treatment:
    • Surgical debridement of dead tissue
    • Skin grafting or flap surgery
    • Long-term wound care and infection control

For Post-Burn Complications:

  • Scar revision surgery
  • Contracture release with skin graft or flap
  • Laser resurfacing for pigmentation
  • Post laser burn treatment options for aesthetic repair
  • Hair transplant or scalp reconstruction in burn alopecia
  • Functional and aesthetic restoration for face, hands, neck, and joints

Duration of Treatment

  • Initial acute care: May require daily dressings for 1-3 weeks
  • Surgical reconstruction: Typically 1-2 hours per procedure
  • Healing time for grafts/flaps: 2-4 weeks, depending on the area
  • Scar treatments/laser sessions: May need multiple sittings over months

Clinical Considerations: Risks and Benefits

  • Risks (carefully managed):
    • Infection
    • Graft failure
    • Scar thickening
    • Delayed healing in diabetic or vascular patients
  • Expected Benefits:
    • Pain reduction and functional recovery
    • Improved appearance and confidence
    • Restoration of normal movement in joints
    • Psychological relief from visible scarring

Aftercare Instructions

  • Keep the dressing clean and dry
  • Avoid sun exposure on healing wounds
  • Apply prescribed ointments regularly
  • Wear compression garments if advised
  • Follow up regularly for wound monitoring
  • Physiotherapy may be recommended for movement recovery
  • Emotional support or counselling if needed

Recovery Timeline

  • Minor burns: Heal within 7-14 days
  • Moderate-to-severe burns: 3-6 weeks or longer
  • Surgical recovery: Varies from 2 weeks to several months, depending on complexity
  • Scar remodelling: Can take 6-12 months with treatment

When to Consult a Burn Doctor?

Immediately contact a burn doctor or visit Elegance Clinic if you:

  • Have burns deeper than superficial redness
  • Notice oozing, foul smell, or increased pain
  • See restricted movement due to scarring
  • Need cosmetic or functional correction of a burn-related deformity
  • Experience post-laser burn symptoms like redness, blistering or scarring
  • Immediately contact a burn doctor or visit Elegance Clinic if you:
  • Seek the best treatment for burn scars or skin grafting
Elegance clinic, Surat

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    FAQ

    For minor burns, use cool water and apply soothing creams. For deeper burns, consult a burn specialist for professional burn wound care and treatment.

    Over-the-counter painkillers like paracetamol or ibuprofen help. In severe cases, prescription medication may be needed.

    Silver sulfadiazine or antibiotic creams are commonly prescribed. Avoid using toothpaste or raw remedies.

    Cool the burn with running water for 10–15 minutes, cover with a clean cloth, and seek medical help for anything beyond mild redness.