When a patient is admitted and is suffering with burns, plastic surgeons play an important role within the burns team that will look after them. Included within the initial treatment and often right through and after the patients discharge especially if they have long term scarring and require further treatment.
It is important for people to remember that surgical operations performed by a plastic surgeon can improve scars and the problems that they cause but cannot remove the scars completely.
The British Association of Plastic Reconstructive and Aesthetic Surgeons advise patients to be wary of advertisements that promise the world when it comes to the cosmetic treatment of scars. Wherever possible they advise that post-burns problems should be dealt with by a burns specialist. .
In the past (and still in some countries) the depth of a burn was classified by degrees (1st, 2nd 3rd and 4th degree). A new system of classification has been introduced in the UK to help decide the need for surgery, to guide treatment and predict outcomes:
Simple erythema – Reversible redness of the skin, typical of mild sunburn
Superficial partial thickness – Involves only the upper layers of the skin, and usually heals within two weeks with minimal or no scarring
Deep partial thickness – Involves superficial and deeper layers of skin. Without surgery it will usually be associated with delayed healing and risk of significant scarring
Full thickness – Involves all layers of skin and sometimes underlying tissues. Without surgery it will lead to scarring and contracture
There are a number of techniques and surgeries that a plastic surgeon burns specialist may use for the treatment of a patient with burns and these include:
- Skin graft
- Flap surgery
- Free flap/microsurgery
- Tissue expansion
- Allograft or Xenograft skin
- Artificial skin
- Steroid injections
- Pressure garments and dressings
- Silicone gel
- Cosmetic Camouflage
All of the above information has been sourced from http://www.bapras.org.uk
If you are looking to find a plastic surgeon who specialises in burns or any other area of the plastic surgery arena then the Medigest Business Directory could help you find the right surgeon for your requirements. https://www.medigest.uk/directory/