Burn scars can arise from traumatic situations, and Dr Manoharan sees many patients whose scarring has a significant impact on their daily life and self-esteem.
Burn scars can be as a result of many different events such as chemical burns, radiation, heat or electricity.
Dr Manoharan often sees burn scars with contractures, where the skin has tightened and can prevent normal movement. He takes pride in creating personalised treatment plans with his patients, including a combination of surgical and laser techniques.
BURN AND SCAR TYPES
First degree burns are very superficial. Effecting the outer layer of the dermis only, they are often characterised by red pigmentation of the skin which subsides within days. There is usually no blistering or change in the skin texture associated with first degree burns. While there is no immediate scarring generally experienced from this type of burn, if the burn is caused by the sun, then long term damage is occurring which is best reversed if treated early by preventative laser.
Second degree burns are a deeper burn than first degree burns, and usually present with blistering of the skin. These burns take longer to heal (usually 2-3 weeks) and can leave some mild scarring. Revision of these scars is possible with excellent results, using a combination of surgical and laser techniques.
Third degree burns are the most severe type of burn. As well as affecting the dermis and epidermis, these burns can also affect tendons and nerve endings, and result in movement restriction. There can also be skin discolouration with third degree burns.
Very few specialists have experience with treating third degree burns, however Dr Manoharan specialises in the treatment of these and uses a combination of surgical and non-surgical techniques including physical removal of scar tissue for thicker areas of scarring, and laser revision.
Scars from third degree burns require multiple treatments however over time often produce dramatic improvement.
Hypertrophic scars are raised scars which are often red and very smooth. They can be very itchy, and when highly raised are referred to as keloid scars.
Contracture scars are most common in patients who have experienced third degree burns. These scars contract the skin and tendons, restricting skin movement.
Steroid can be injected underneath the site of the scar to assist in breaking down scar tissue. This is often done on multiple occasions to slowly treat the scar, and is usually done in conjunction with pulsed-dye laser to reduce the redness of the scar.
Surgical removal of some scar tissue may be required where the scar tissue is deep or contractors are severe. This is always done in conjunction with other non-surgical approaches and over multiple sessions to provide optimal results.
Pulsed-Dye lasers treat the red pigment in scars, and can reduce the appearance of the scar by reducing the redness. This is often used in conjunction with other treatments, and requires multiple treatment sessions.
CO2 lasers are excellent tools in the revision of burns scars, as they have the power to break through the thick layers of damaged tissue.
ReCell is a device that allows healthy skin cells to be collected and processed to create a fluid that can be applied to damaged skin to improve repair rate, reduce scarring and re-introduce colour to areas of depigmentation that have occurred either as a result of conditions such as vitiligo, or areas which have lost pigment due to scarring.
This is an excellent way to re-introduce pigment to areas after the scar tissue has been revised.
Dr Manoharan is a laser dermatologist, specialising in cutting-edge combination treatments to reduce scarring. He produces world class results using gold-standard energy-based devices and techniques, has the wealth of experience you need to get the results you want – and is based right here in Brisbane, Australia!