Sometimes deep burn wounds may need to be skin grafted. Often they heal well but in some cases the junction of the normal skin and the skin graft may become thick reddened and painful- referred to as a hypertrophic scar. Such scars need to be treated as any hypertrophic scars with cream applications, pressure garments and other modes of scar treatment- whichever is considered best by the treating surgeon. Some of these may even need surgery if they form contractures, or scars that restrict movement. The patient shown above had a deep burn on the leg, ankle and foot which was treated by skin grafting (mesh graft was applied). Though the graft healed well, a small hypertrophic scar developed at the junction of the graft and the normal skin.
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Keloids Symptoms are generally raised, firm, smooth and shiny. They are frequently red or pink, or much blacker or brighter in color than the surrounding skin.
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