4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

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Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

There are mainly three kinds of burns. The degree of burns is determined by the extent of damage that the burn causes. First degree burns are minor while third degree ones are extremely severe. Variety of factors could lead to a burn. They may be chemical, electrical, fire and even sun induced. Boiling or scalding liquids might result in burns as well. The burn type isn t necessarily determined by what causes it. Scalding hot water might cause all the three types of burns; based on the duration of the skin being in contact with the water and how hot the water is. 

Electrical and chemical burns need immediate tending to by a doctor as it might affect the internal body without it being apparent as the damage to the skin is not much. There are also fourth-degree burns. This type of burn includes all of the symptoms of a third-degree burn and also extends beyond the skin into tendons and bones.

First-degree burns: These result in the least skin damage and are also known as  superficial burns  as they only affect the skin s outermost layer. Redness, pain, minor swelling and inflammation are all the symptoms of a first degree burn. As a first degree burn heals, dry skin and peeling takes place. As the skin peels, the symptoms and signs disappear as the burn only manifests on the top most skin layer. It usually takes a week or little more for a first degree burn to heal without any scarring. If the burnt area affects over three inches of skin, or is on the face, then a doctor should be consulted. Home care generally suffices for a first degree burn. Healing time accelerates with rapid treatment of the burn.
Second-degree burns: They are serious as the extent of damage is deeper than the topmost layer of the skin. The skin becomes extremely sore with the formation of red blisters. The blisters might pop open and as time passes, the wound may develop a scab. Proper bandaging is required to reduce chances of an infection. Home remedies should be avoided. The burns usually heal within three weeks.
Third-degree burns: They are the most severe. They extend through each layer of the skin. They might not cause any pain due to the severity of burn as the nerves might get damaged. There might be extreme scarring if corrective surgery isn t done.

Burns - Understanding Its Degrees!

Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and burns that affect critical areas. The focus here is to close the skin in case of open burns and help the skin heal.
Reconstructive burn surgery addresses the skin after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure no lasting loss of functioning. Reconstructive burn surgery has a high success rate.
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin tissues from one part of the body and transplanting it to the burn site. This skin graft may include only a few outer layers of skin or may involve the entire dermis. This is used in cases of severe burns where a large section of the dermis is affected.
Microsurgery: This is a procedure where the surgeon reattaches or reconstructs severed fingers, toes, ears etc by sewing together blood vessels and nerves. This is often used alongside other surgical procedures.
Free flap procedure: In this procedure, muscle, bone or skin is transferred from one part of the body to another to reconstruct the area. This type of surgery is often accompanied by microsurgery.
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn site. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to repair burn scars.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Effective It Is?

A chemical burn can occur owing to a number of substances, for instance, if the skin comes in contact with strong acids, bases, irritants, gasoline, paint thinner and drain cleaners then it react with your skin. Chemical burns are also termed as caustic burns. The symptoms usually depend on the intensity of a burn, which include redness, irritation, numbness, pain, the skin turning black and dead or even vision loss, if the chemicals come in contact with the eyes.


What are the Do s and Don ts?
Do away with those chemicals, which have caused the burn or wipe off the dry chemicals. It is safe to use towels or put on gloves for this work.
Remove jewelry or any contaminated clothing to avoid further burning and inflammation of the skin.
Rinse off the affected area immediately with cold water. 
Loosely wrap the area with sterile gauze or a bandage.
If required, you can even opt for pain relievers such as naproxen sodium, ibuprofen or acetaminophen.
Consider taking a tetanus injection, but at the same time, ensure that your booster is up-to-date.
Refrain from applying an antibiotic ointment over the burnt area or neutralizing it with an alkali or acid. This may aggravate the burn.


When should you seek an emergency care?
When the person exhibits sign of shock such as shallow breathing, pale complexion or is experiencing bouts of fainting.
When the chemical burn pierces through the upper layer of the skin, occupying an area of above 3 inches in diameter.
When the chemical burn has spread to the buttocks, groin, face, feet, hands, eyes or even the limb.


Chemical Burns - Do's and Don'ts You Must Follow

Wounds and bruises are both injuries. However, they differ widely in terms of the causing factors, the nature of the injury, the pain they cause and the kind of treatment they require. The following are a few of the myriad ways in which the two injuries differ from each other:

1. A wound causes quick damage - the skin tissue is cut or punctured while a bruise (also called a closed wound) is where the skin is not torn. 

2. A wound is usually caused by a sharp object but bruises are the results of blunt force or trauma.

3. A wound almost certainly bleeds due to ruptured tissue and blood vessels. Blunt injury also damages the blood capillaries of the skin and causes blood to accumulate under the skin tissue, creating a dark patch of skin. Blood vessels can also break due to lifting of heavy objects or overexertion of muscles.

4. A wound carries the risk of infection because the skin is open but a bruise does not get infected.

5. A wound has a burning or stinging sensation but a bruise is characterized by swelling and a blunt throbbing pain.

6. A wound can be healed by antiseptic and antibiotic medication. Large wounds need to be closed by stitching them up to avoid severe infection. On the other hand, a bruise usually heals by itself. A cold compress and pain killers may be used to ease discomfort. Heat can be applied to the injured spot to normalize the blood flow and dissolve the blood clot.

7. A wound can lead to complications like bacterial infections or the healing might be delayed by chronic diseases like diabetes. In case of a bruise, it usually does not cause complications but if there's a blunt injury to sensitive areas like the head, the tailbone or the eyes, medical attention is advised.

8. Wounds and bruises can also be differentiated on the basis of their subtypes. The different types of wounds are:

a. Incision (sharp objects cutting the dermis layer of skin)
b. Abrasion (the epithelial tissue is scraped off)
c. Avulsion (a body structure is torn off)
d. Penetration (a sharp object causes an entry and an exit wound)
e. Puncture (only an entry wound caused by a sharp object)

The different types of bruises are:
a. Hematoma (blood pools under the skin)
b. Purpura (tiny spots of blood on the inside of the mouth)
c. Contusion (similar to hematoma and caused by external trauma)
d. Crush injury (caused due to a large amount of force on the body part for a long time)

Wounds VS Bruises

While most people recover from first and second degree burns without fatal consequences, third-degree burns pose a different story altogether.

Third-degree burns occur when the damage to the skin extends beyond the dermis, and perforates deep within the tissues. This sort of injury is the most serious one. For instance, injuries sustained from a fire breakout, acid attack, etc.

Symptoms include-

Charred/black skin
Numbness
The damage to the nerves caused by third-degree burns are so extensive, that the victim may feel very little or no pain.

Complications-
There are several complications associated with third-degree burn injuries, such as the following-

Infection
Sepsis
Scarring
Low volume of blood
Very low body temperature
Joint/bone problems
How Ayurveda heals third-degree burn injuries-
Burn injuries, especially of third-degree, leaves behind ugly, unpleasant scars. Moreover, such distressing marks can be traumatic for the victim as it may bring back horrific memories of the incident. Many times the person may feel hesitant to visit a doctor or go for a therapy. This is when Ayurveda comes to your aid.

Ayurveda uses therapeutic and natural remedies- essential oils, herbs and spices- to relieve pain, and helps you get rid of those burn scars. Some of the natural ingredients used in Ayurvedic treatment include-

Use of herbal oils Lavender and Calendula helps in quick relief from burn injuries.
An ointment prepared from red sandalwood, gairika, tugaksiri, and plaksa extracts can be applied on injuries caused due to third degree burn.
Applying cucumber juice or Jatyadi oil on the affected area with cotton balls offers relief from the pain.
Prepare a paste using mustard oil and henna leaves, and apply the same on burn injuries. This will provide instant relief from irritation.
Prepare an herbal pack using, turmeric, amla, etc. that are rich in anti-inflammatory, antibacterial properties. This can heal burn scars and ease pain.
Apart from these, Ayurveda also suggests following a bland (without spices), healthy diet so that the injury does not aggravate the injury further.

Third-Degree Burn Injuries - An Ayurvedic Approach!

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