Will a burn leave a scar?

Written by Wang Xiang Li
Emergency Medicine
Updated on February 05, 2025
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Whether burns leave scars depends on the severity of the burn and whether emergency measures were taken after the burn. Clinically, burns can be divided into three degrees. A first-degree burn, which is mild, generally shows symptoms such as stinging pain, mild swelling, and erythema. With timely soaking in cold water, rinsing, and application of burn medicine, scars are not left. For deeper second-degree and third-degree burns that involve the dermis, there is a possibility of scarring. At this point, the skin at the affected area may show necrosis, and local healing may be delayed. Therefore, actively treating the burn immediately after it occurs, preventing infection, and quicker wound healing can reduce the likelihood of scarring.

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Written by Wang Xiang Li
Emergency Medicine
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Should blisters from burns be punctured?

Whether to prick a blister caused by a burn depends on the size of the blister. For smaller, dense blisters, it's generally not necessary to break them, as the fluid can be absorbed naturally. However, it's important to keep the wound clean to avoid secondary injury, and topical burn ointment can be applied. For larger blisters caused by burns, or those with high tension that interfere with daily activities or life, and are difficult to absorb, you can sterilize the area and then use a sterile needle to puncture the base of the blister to drain the fluid. Be sure to thoroughly clean out the fluid inside the blister. However, the blister skin should be kept intact to cover the skin, providing protection, reducing the risk of infection, and promoting recovery.

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Written by Li Xiao Lin
Emergency Department
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How long will it take for a burn on the finger to ease the pain?

After a finger scald, how long it takes for the pain to alleviate depends on the severity of the burn, and the specific time cannot be confirmed. Generally, the pain caused by burns is mainly due to damage to the epidermis, which affects the peripheral nerves, leading to neuropathic pain. At the start of the burn, you can rinse with cold water for half an hour to appropriately alleviate the pain. However, this pain relief is only temporary, so you may need to take some medications to alleviate it, such as pain relievers or celecoxib, which might be effective. If the injury is deeper, affecting below the dermal layer and damaging the nerves, then there will be no pain, and there is no need to address the pain. (The use of medications should be under the guidance of a professional doctor.)

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Written by Li Xiao Lin
Emergency Department
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Scalding that causes the skin to peel off is classified as a second-degree burn.

Burns that result in skin peeling must be examined case by case, as it is impossible to generalize. The classification depends on the size of the burn and the severity of the injury. If the burn only results in peeling skin, indicating damage to the epidermis, it is considered a superficial second-degree burn. If the damage extends below the dermis, it is considered a deep second-degree burn. If there is damage to deeper tissues, it could potentially be a third-degree burn. Furthermore, if the area of skin peeling due to the burn is extensive, it may be considered deep second-degree or more severe. Therefore, immediate actions should be taken following a burn, such as rinsing with cold water for at least 30 minutes or until the pain subsides. Then, thoroughly disinfect the area with iodine to prevent infection. Applying burn ointment on the surface may help in the recovery of the burn. If necessary, cover it with a sterile gauze to prevent contact infections that could lead to skin infection. Attention should also be paid to diet; drink plenty of water, eat fresh vegetables and fruits, consume high-protein and high-nutrient foods, supplement with vitamins, and avoid spicy and stimulating foods.

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Written by Huang Ling Juan
Dermatology
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How to remove burn scars

Scars from burns, if relatively fresh, can be treated with scar removal creams such as silicone gel dressings. It is necessary to consistently use these creams for about three months, and using them in conjunction with scar patches can enhance the effects. During the use of scar creams, the diet should also be light, avoiding spicy and irritating foods, and consuming more fresh vegetables and fruits that are rich in Vitamin C, and foods high in vitamins. At the same time, avoid intense exercise and scratching the affected area to prevent worsening of the scar hyperplasia. For older burn scars, fractional laser treatment can be considered. Depending on the degree of scar elevation, typically three to five treatments are needed. (Use medication under the guidance of a doctor)

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Written by Wang Xiang Li
Emergency Medicine
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How to treat baby's burns with blisters

If the burn has just occurred, first ensure the baby is quickly removed from the heat source, and soak the affected area in running tap water or cold water for over half an hour. Alternatively, a cold towel can be used to moisten and cover the wound, which can reduce the thermal damage to the burn area and minimize the formation of weeping wounds. If the blistered area is small, a moisturizing burn ointment can be applied. If there are small blisters, they may be left untreated, but do not break them; this maintains a sterile environment and allows the blister to absorb slowly. However, if it is a large burn area, it is necessary to seek immediate medical attention at a nearby burn unit for proper dressing and treatment of the burn. Additionally, care should be taken to avoid squeezing the burned area and to prevent the wound from getting wet.