TREATMENT OF BURN SCARS
In some cases, the wound may not be covered with normal skin. According to the depth of the burn wound, different healing patterns show. 1 degree and 2 degree surface burns can be covered with normal skin. 2 and 3. the scar tissue, called fibroxic tissue, is healed in degrees of burns. The burn scars may be thinner than normal (atrophic), or the result of abnormal wound healing may be swelling (hypertrophic) and pigmentation disorders may accompany it.
Burn scars is a cosmetic problem, such as pain, itching, limited movement of joints, as well as a functional problem that disrupts the comfort of life.
Fat grafts, skin graft, surgical excision, dermabrasion, peeling applications, laser applications have been tried. Although there are no smiling results until 5 years ago, there are now treatment protocols that promote patients. We do laser and microfat application in our clinic.
Autolog microfat stimulates collagen production and increases the skin thickness and quality. Leather fragility decreases, increases flexibility and mobility of the skin. Pigmentation disorder improves, increases the vein. These effects are all due to mesenchymal stem cells found in adipose tissue. Mimics the dermal layer of the skin, creating an ideal micro environment.
Although lasers with very different wavelength are used, non ablative erbium laser is the most effective. Used as a fractional. With the energy of 1550 nm wavelength, thermal damage is created in columns and then the neighboring solid tissue is regenerated, making the dermal thickening. Collagen synthesis and remodeling occurs. 1937 nm wavelength thallium laser and scar pigmentation disorders are corrected. Wabiel and colleagues have benefited 90% of patients. 60% of them have benefited well. In 80% of patients, discoloration has increased skin thickness and flexibility. 3 months later, the recovery of this scar due to the patients ‘ self-confidence increased.
There are many studies regarding both fat grafts and laser treatment. However, for the first time Onur Erol and his colleagues combined these two studies to treat the burn scars of 288 patients. They first used a fractional laser for five sessions. Laser treatment increased the flexibility and quality of the scar, reduced skin irregularities and hyperpigmentation. All patients underwent three sessions of microfat graft. As a result, they have seen significant improvement in skin tissue and an increase in scar softness. In general, they’ve recovered 40 to 80 percent of their patients. All patients and their families have reported that they are satisfied with the results.
We successfully treat burn scars with fractional laser and microfat in our clinic.
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