Another method for treating
first and second degree burns

Itamol ointment, immediately after the burn

Look at the pictures below. In case of those burns, one could also use Itamol® ointment. In many cases where you are considering using a graft, Itamol® ointment would be a good alternative for Flammazine® ointment. The practical advantages of Itamol® ointment are considerable: faster drying of the skin, so less moisture loss, and pain reduction. The combination of ichthammolum and zinc oxide provides an anti-inflammatory, wound healing and protective effects.

The recovery of the skin and connective tissue will go much faster by using this.

The past 15 years, scientific studies have shown that Itamol® ointment when used in poorly fitting deep abrasions, eg in donor sites???? (SSG), as well as with burns, show very good results (see also medical publications).

After the wound has dried out, a thin layer of Edula® ointment is applied, 1 or 2 times a day. This is applied on top of the Itamol® ointment to prevent the damage of the thin membrane of skin (see also file Edula® ointment and leaflet Edula® ointment).

It is very important that the one who treats the patient looks at each burn separately: should the ointment be used with or without occlusion, can the ointment be applied with or without gauze.

See leaflet Itamol ointment

type: gasoline-burning leg, second and deep second-degree burns. treatment: The deep second-burns are treated 10 days with Itamol® ointment. The normal-second-degree burns are treated with Edula® ointment. Total treatment duration 9 weeks 1x daily under occlusion with gauze. End result: after 6 months, combination therapy Itamol® and Edula® ointment).

type: First degree burn of the lower leg, caused by the silencer of a motorcycle. treatment: 6 weeks Edula® ointment, 2x daily under occlusion with gauze. end result: after 3 months Edula® ointment. After years of research we found out that discoloration of the skin, in this case hyperpigmentation fades with prolonged use of Edula® ointment from 1 to 4 months.

type: deep second degree burn of the foot, boiling water on the instep. Outpatient hospital visit. Advice to use plastic surgery graft to close the deep second degree burns. treatment: After second opinion in our clinic patient we treated this patient 2 weeks with Itamol® ointment under occlusion with fixomull®, 2x daily; after 7 weeks Edula® ointment, 1x daily with a piece of gauze dressing the wound to prevent scar formation and hyperpigmentation. end result: after 4 months treatment with a combination of Itamol® ointment and Edula® ointment.

Dermabrasion as follow-up treatment of scars after burns

Dermabrasion is a treatment for the equalization of the skin surface, which has been applied now for quite a long time. It can be done with salt or with a dermabrasion grinder. You can grind all irregularities and scars away. Both in plastic surgery and dermatology, this method is still used regularly. However, this way of treating scars generally gives disappointing results. The CO2 laser shows no surprising results either. Even more scar tissue can show up when given an incorrect indication. See also the file Scars >> Dermabrasion in hypertrophic scars.

Dermatography as treatment after burns

The past 15 years, scientific studies have shown that treating scars with dermatography makes them smoother and softer. With each treatment, we remove a very thin layer of skin (a few thousandths of a millimeter) so it can be considered as a very mild form of dermabrasion (see also intracicatricial keloïdectomy). At the same time, a pigment can also be inserted, so that we can speak of a combined treatment. After a few sessions the scar is less tense and feels smoother. The structure of the collagen changes during the treatment from unstructured to normal as can be seen clearly under the microscope. (see Scars and collagen).

Pre-treatment with Edula® ointment

Before we treat the scar with dermatography, it will be treated 1 month daily with Edula® ointment under occlusion (see also the file Edula® ointment and leaflet Edula® ointment).

After each treatment, we continue to use Edula® ointment to prevent scarring and to accelerate the healing process (see treating hypertrophic scars with Edula® ointment).

Before and after treatment with dermatography

fire-burn neck after transplantation - after 16 treatments with dermatography

water-burn of the face in childhood - after 9 treatments with dermatography

after burn and transplantation - after 11 treatments with dermatography

water-burn ankle - after 6 treatments with dermatography

water-burn of the chest in childhood - after seven treatments with dermatography, including nipple and areola

sunburn eyelids - after 5 treatments with dermatography