How long does it take for a deep second-degree burn to heal?

Written by Zhang Jian Bo
Dermatology
Updated on February 19, 2025
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Second-degree burns generally require three to four weeks to heal. The healing time for burn wounds depends on the depth of the burn. Second-degree burns include both superficial partial-thickness and deep partial-thickness burns.

Superficial partial-thickness burns involve blistering of the upper dermis. The blisters are relatively full, and the base of the wound is red and moist with substantial exudation. There is significant swelling and severe pain. Under non-infected conditions, superficial partial-thickness burns generally heal within two weeks without scarring.

Deep partial-thickness burns affect the deeper layer of the dermis. Blistering in this case tends to be relatively flat, and the base of the wound appears red and white, sometimes showing a net-like pattern of vessel thrombosis. These wounds have less elasticity and the pain is less intense. Deep partial-thickness burns generally take three to four weeks to heal and leave scars. Therefore, formal anti-scarring treatment is required after healing of a deep partial-thickness burn.

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How to treat a cold burn?

Low-temperature burns generally refer to chronic burns caused by prolonged contact with low-heat objects, such as hot water bottles, heaters, metal hand warmers, etc. These low-temperature heating devices, when in close contact for a long time, can easily cause skin burns, especially in the elderly and infants, who are more prone to local skin damage. Therefore, once a low-temperature burn occurs, it is important to cool the affected area promptly, including soaking and rinsing with cold water to achieve cooling and pain relief effects. Afterwards, the wound can be disinfected with iodophor and treated with burn medication. Mild low-temperature burns will gradually heal. Additionally, if significant skin damage has occurred, it may be necessary to consider using medications in combination, such as erythromycin ointment, all of which can help promote recovery of the affected area.

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What should I do if my finger gets burned and starts oozing pus?

Finger burns have developed a pus discharge, indicating a severe infection at the burn site. Once an infection occurs, in addition to disinfection, oral antibiotics should be administered for anti-infection treatment. Disinfection may need to be carried out once or twice daily. The disinfection process involves washing with saline solution, then further sterilization and disinfection with hydrogen peroxide. After rinsing with saline, re-disinfect with iodophor, and then cover with gauze and dressing. Gentamicin can be applied on top of the gauze to promote healing and improvement of the infection. If oral medications are ineffective, intravenous antibiotic infusion may be necessary for anti-infection treatment. (Medication use should be supervised by a professional doctor.)

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What should I do if I have an esophageal burn?

Esophageal burns are a common and frequently occurring condition caused by consuming food or for other reasons where the temperature is too high, which damages the mucous membrane of the esophagus. At that time, one should immediately stop eating to reduce harm to the body. For mild cases, one can orally take egg whites or milk to protect the injured esophageal mucosa. Severe cases need to go to the hospital for medical treatment, take gastric mucosal protectants to prevent the formation of esophageal mucosal scars, prevent esophageal stricture, and at the same time, receive intravenous fluids, enhance nutritional support, supplement necessary vitamins, and can also use some drugs that promote the recovery of the esophageal mucosa, minimizing the damage of esophageal burns to the body.

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Are second-degree burns serious?

Second-degree burns are serious and are classified into superficial and deep second-degree burns. Superficial second-degree burns manifest as local redness, swelling, pain, and blister formation. Deep second-degree burns primarily affect the dermis, resulting in tissue necrosis and nerve damage, which are indicated by local pain and abnormal sensations. For both superficial and deep second-degree burns, it is necessary to immediately rinse the affected area with running cold water for at least half an hour, or until the pain eases. Afterward, it is essential to go to a hospital for thorough disinfection with iodophor to prevent infection. For deep second-degree burns, debridement is also necessary, and skin grafting may be required to facilitate tissue recovery. However, certain sequelae may remain, so it is crucial to follow the doctor's instructions to change dressings regularly. Additionally, attention should be paid to diet; avoid spicy, stimulating, and fermenting foods. Drinking more water and consuming fresh vegetables and fruits to supplement vitamins, as well as high-protein and high-nutrient foods, are beneficial for recovery.

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How to relieve pain after a burn or scald

Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.