Dr Bhupendra Gaidhane

Understand how injuries are classified and which techniques are capable of mitigating the impacts caused by a burn

One of the most common domestic accidents, burns can occur at different levels of severity and cause a series of sequelae in patients – ranging from skin destruction to irreversible damage to bones and organs.

It is not by chance that many doctors specialize in burn care and procedures, committed to repairing and recovering the self-esteem, mobility and even the quality of life of these people.

Among the most common repair techniques, we can highlight plastic surgery and aesthetic treatments as being one of the best allies to soften the marks left by the accident and promote not only an aesthetic but a physical improvement in the patient.

With the aim of clarifying the main doubts on this subject, we have gathered in today’s content everything you need to know about the classification of burns, how to care for it, what to do and what procedures are capable of repairing these damages. Follow up!

The types of burn

Before knowing what are the aesthetic procedures aimed at repairing a burn, we need to understand what actually characterizes it and what are the agents responsible for causing them.

It is established that burns are caused by the contact of the skin or body with some source of heat or cold, chemicals, animals, plants, electric current and even radiation.

However, it is necessary to know that there are different degrees of burn, after all, the damage caused by touching a hot pan with your finger is not the same if you come into contact with an acid, for example.

Among the most common types of burns, we can highlight:

Thermal burns: caused by a source of heat or cold, such as fire, boiling liquids, excessive heat, steam, hot objects and the like;
Chemical burns: caused by skin or body contact with chemical substances harmful to health, such as acids, solvents and other components;
Electrical burns: from electrical discharges, that is, when there is contact of some part of the body with an electrocuted surface.

To further understand the types of burns, the extent of the burned body area is considered, as follows:

Mild burns correspond to less than 10% of the body surface;
Medium burns reach 10 to 20% of the total percentage;
Severe burns account for more than 20% of the body area.

The ratings of each burn

There is also a classification aimed at assessing the depth of burns. Established by the Brazilian Society of Burns, this classification aims to assess the degree of tissue involvement and help guide care and treatment and procedure for burns.

1st degree

They are considered burns that reach the most superficial layers of the skin, such as, for example, sunburn.

Its main characteristics are redness, swelling, bearable local pain, edema and peeling in a period of 4 to 6 days. No bubbles or major inconveniences form.

2nd degree

Second-degree burns are those that reach the deepest layers of the skin and can cause damage to the patient’s dermis and epidermis.

Its characteristics focus on blisters, reddened skin, pain, swelling, shedding of skin layers and, depending on the case, even shock.

Its recovery varies from 7 to 21 days, and it may leave scars and require more intensive care so that it does not impair the quality of life or functionality.

3rd degree

Third-degree burns are considered the most serious and severe, reaching all layers of the skin, and may even reach the bones.

Characterized by the whitish or blackened skin plaque, they present little or no pain to the individual and, in most cases, require skin grafting to soften their aesthetic and functional impacts.

What to do in case of burns?

Regardless of the type, the burns treatment in Nagpur is usually the same in all cases:

Wash the area in running water for approximately 10 minutes;
Remove any and all accessories that can retain body heat (rings, earrings, bracelets, watches);
If the clothing is not in contact with the burned skin, it is also indicated to remove it if it is close to the affected site;
Place a clean cloth or wet sterile gauze over the area and seek the nearest medical attention.

And what not to do?

No toothpaste, ointment, butter or any other popular beliefs. When it comes to a burned region, the best thing to do is seek specialized care as soon as possible.

Don’t pop blisters, and if the burned tissue is stuck to the skin, don’t try to remove it. Only a professional with the indicated techniques is able to alleviate the situation.

Treatments for burn victims

Although dermocosmetics are capable of relieving the scars left by a burn, in some cases, as we explained, only skin grafting can restore mobility and improve the aesthetics of some regions of the body.

In this sense, the patient should seek a specialized plastic surgeon in Nagpur so that the professional can assess what can be done, considering the individual characteristics of the case and performing the procedure for burns.

Reconstructive surgeries usually have excellent results in the scar treatment in Nagpur and injuries caused by burns, restoring quality of life and self-esteem to these patients.

However, it is worth remembering that only after a careful evaluation by the best plastic surgeon in Nagpur is it possible to align expectations and find out the best treatment for your case.

The use of heavy earrings for a long time, or the use of ear plugs, or even trauma to the ear (accidents with sharp objects, pulling the earrings hard when removing them) are the main factors that can cause the ear to be torn. However, this can be corrected with lobuloplasty – plastic surgery that reshapes the ears.

Understand how it works and who it is for in our post today!

How does lobuloplasty work?

Plastic surgery to correct a torn ear is not usually an operation with many risks or contraindications, being often an outpatient procedure, without the need for hospitalization.

The procedure is performed under local anesthesia and, in most cases, without sedation, and consists of reconstructing the earlobe through incisions in the torn area and suturing these incisions, in order to give an adequate contour to the earlobe (the fleshier and softer part of the ear, where the holes for earrings are usually made).

The size of the incisions will depend on the size of the tear in the ear. If it’s just a small enlargement of the earring hole, the surgeon can just peel away the skin around the hole and suture to close the hole created by the incisions.

However, in the case of a completely torn ear (technically called a bifid lobe), as well as in cases of very large holes due to the use of ear reamers, larger incisions and sutures will be necessary, consequently in larger scars.

In all cases, a certain amount of skin from the lobe needs to be removed in order to perform the surgery correctly. However, even in cases of major corrections of the ear hole, the procedure can be performed with local anesthesia, through an injection in the skin of the lobe.

For patients who do not want only local anesthesia, sedation in the vein can be associated, but for this it is necessary that the surgery be performed in a hospital environment with the presence of the anesthesiologist.

Both ears can be corrected in the same surgical procedure, if necessary (hole corrections in both ears). through an injection into the skin of the lobe. For patients who do not want only local anesthesia, sedation in the vein can be associated, but for this it is necessary that the surgery be performed in a hospital environment with the presence of the anesthesiologist.

It is important to point out that, even though it is small, lobuloplasty is plastic surgery, and must be performed by an experienced professional and after a complete medical consultation, with preoperative exams to certify the patient’s health, if necessary.

Lobuloplasty in Nagpur is a generally quick surgery, lasting from 30 to 60 minutes (depending on the size of the tear and whether or not both ears need to be operated), and the patient can return home the same day, if she is in good health. conditions.

After surgery, the patient goes home with a small dressing on the operated lobe, which may consist of Micropore adhesive tapes alone, or Micropore tapes with gauze, depending on the need to control postoperative bleeding. The plastic surgeon in Nagpur will guide the care with each type of dressing, in each case. The patient will be instructed to take painkillers if she has pain and will eventually be given a prescription for post-operative antibiotics.

It is also possible to correct earring holes in other parts of the ear, such as the top of the ears and the tragus (the small bump that sticks to the skin of the head, just before the ear canal). However, these cases may eventually require slightly larger and more complex surgeries, as they are more delicate areas of the ear, made up of cartilage.

Post-operative procedures

Postoperative procedures include:

– Avoid sun exposure for 30 days.
– Avoid scratching the operated area.
– Avoid strenuous physical activities.
– Look for the best plastic surgeon in Nagpur who performed the surgery in case of any discomfort, redness, excessive bleeding, or pain at the site. Minor bleeding is common in the postoperative period, with no need for a new operation in most cases, just dressing.

The patient should wait at least one month before making a new earring hole at the operated site because before this period the operated area will be very fragile and may open again if manipulated.

The patient must always wait for the surgeon’s permission to make a new hole, and even to use pressure earrings, as they compress the operated area, which can harm the result of the surgery if they are used before the right time.

After all, why can the ear tear?

The lobe, located in the lower region of the ear, is delicate. It is a region composed basically of fat and skin, with no muscles or cartilage to help support weights, factors that generate the risk of tears when heavy earrings and extensions are placed.

Even so, individual predisposition is an important factor for the occurrence of tears and enlargement of holes in the ear. There are people who will develop the problem with lighter earrings, while others will have stronger earlobes and will support heavier earrings.

That is, it is not entirely predictable who will or will not have problems with enlarged and torn holes. When in doubt, avoid wearing earrings that are too heavy, in order to minimize the risk.

Tips to prevent tearing and inflammation

– After lobuloplasty, the medical recommendation is not to put heavy earrings or plugs in the operated region, because there is a risk of the region tearing again, requiring a new corrective surgery.
– Do not drill holes – whether for earrings or plugs – or use pressure earrings on the surgical scar before the surgeon releases it.
– Follow the surgeon’s instructions regarding the care with dressings and cleaning of the ears in the postoperative period.
– Keep a correct follow-up with the surgeon in the postoperative period, to ensure that the result of the scars is as discreet and aesthetic as possible. Lobuloplasty scars usually evolve well, however, there is a chance of developing keloids (hard, raised pink scars) in the lobuloplasty incisions (especially in patients who have already had this problem in their own ear or in other parts of the body), which should be evaluated and treated by the plastic surgeon.

Monthly Archives: June 2022

Procedures for burns: know the main ones