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Burn Scar Management and Rehabilitation

Hypertrophic scar prevention, contracture prevention and functional rehabilitation program after burns.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Burn Scar Management and Rehabilitation?

Burn rehabilitation is divided into three phases: acute, subacute and reconstructive. In the acute phase, antideformity positioning (burn position), passive and active exercises and edema control are the priority goals. Preventive interventions before contracture develops are critical.

In the subacute phase (after wound closure), the goal is to prevent hypertrophic scarring with pressure garments (24 h/day for 12–18 months), silicone gel sheets, compression, laser therapy (pulsed dye, fractional CO2), intralesional steroids and massage.

In the reconstructive phase, surgical scar revision, Z-plasty, contracture release, free flap transfer and full-thickness skin grafting are performed. Rehabilitation continues at every stage. Psychosocial support (especially in facial burns) is indispensable.

Symptoms

Active burn wound
Hypertrophic or keloid scar
Burn contracture
Joint motion restriction
Itching and pain
Psychosocial impact

Risk Factors

Deep second- and third-degree burns
Late epithelialization (>2 weeks)
Dark skin
Young age
Burns over a joint
Infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In the early period after a burn
  • When a hypertrophic scar develops
  • When there is risk of contracture formation
  • When restriction of motion begins
  • When reconstructive surgery is being considered

Treatment Methods

01
Antideformity positioning
02
Early active and passive exercise
03
Pressure garment (24 h/day)
04
Silicone gel sheet application
05
Laser therapy (pulsed dye, CO2)
06
Massage and scar mobilization
07
Psychological support
08
Surgical revision (when needed)

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.