Techniques of reconstruction of the skin after a burn

Written by: Dr. Ricard Palao
Published: | Updated: 17/11/2018
Edited by: Top Doctors®

The reconstruction of the skin after a burn is possible using different techniques. The most used is partial grafting skin from the patient, although in recent years there dermal regenerators.

burn skin Depending on the depth of the burn, the skin will regenerate itself from the skin appendages. If they are damaged, it is necessary to cover the burn with a skin substitute. Although the most used in plastic surgery are skin grafts from the patient part, for 15 years there dermal regenerators that help to rebuild the dermal part of the skin, which is important because it provides elasticity, strength and quality of the skin. This reconstruction technique used burns burned cosmetic functionally important areas, and also in the treatment of sequelae of burns.

Skin coverage

When someone suffers a burn, the effects that occur in the skin caused by the loss of the properties of this. Therefore, what the surgeon is trying to retrieve those properties through a new skin coverage replacing the injured skin. This coverage can be temporary or permanent. The temporary coverage are temporary dressings or skin substitutes, until it heals the 2nd area burned by intention or by the use of autografts, skin regenerators or skin cultures, when the burn is more serious and can not be cured by 2nd intention.

Reconstruction techniques burns

Different reconstruction techniques burns.

- Skin autograft: The most used technique. It is to obtain skin grafts from the patient. The downside is that these grafts leave a small scar in the area where are obtained.

If the burn is so deep that no remains of dermis or fat and has exposure of tendons, bone or cosmetic areas, you must resort to other reconstruction techniques burns.

- Dermal regenerator is a type of material developed by bioengineering tissue it helps the body regenerate very similar to the original dermis.

- Classical reconstructive surgery: based on the use of flaps of tissue that can be free and require microsurgical and pedicled island, based on a vascular pedicle.

The duration of the reconstruction process depends on the initial complexity.

Aftercare to the reconstruction of a burn

On the one hand, be carried out local care, care consisting of scars, moisturizing creams that regulate healing as Rosehip, silicones and acupressure. On the other hand, it is essential in many cases make a good therapy and physiotherapy rehabilitation for physical and functional recovery of the patients.

*Translated with Google translator. We apologize for any imperfection

By Dr. Ricard Palao
Plastic surgery

Dr. Ricard Palao is a specialist in Plastic, Reconstructive and Aesthetic Surgery, an expert on burns and sequels. In addition to having your own private practice, he works as a professional in the Creu Blanca Clinic of Barcelona and in the center of Badalona GiNaC Stetic. He completed his training abroad with stays in burn units in countries such as Germany (Berlin), Netherlands (Rotterdam) and Belgium (Ghent and Brussels). For four years he has been the Coordinator responsible for the Burn Unit of the Hospital Vall d'Hebron. Author of several articles and even a book, the doctor has participated numerous times in various conferences, symposiums and lectures on the specialty. He is a member of various medical societies, most notably as a member of the International Society of Burn Injuries (ISBI).

*Translated with Google translator. We apologize for any imperfection

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