How to reduce a burn scar

A burn scar forms when an injury changes the normal structure of the skin. It may look darker, lighter, redder, thicker or indented than nearby skin. Some scars become raised and firm; others pull the skin tight and restrict movement, especially across a joint. New scars can continue to change in colour, texture and flexibility as they mature.

Only treat skin that has fully closed. Use a bland moisturiser and gentle massage if a clinician has confirmed that the area is ready. Protect it from sunlight with clothing or a broad-spectrum sunscreen, because ultraviolet exposure can deepen colour contrast. Silicone gel or sheets may soften and flatten some raised scars when used consistently. A dermatologist may discuss fractional laser treatment for texture and stiffness, scar revision surgery for selected scars, or a skin graft when damaged skin is extensive or limits function. Treatment choice depends on depth, location, skin type and scar maturity.

Arrange medical assessment if the burn is not fully healed, opens, oozes, becomes increasingly painful, or develops spreading redness, warmth or fever. Seek prompt review for a scar that restricts a joint, eyelid, mouth or neck, or that grows beyond the original burn. A clinician can also check persistent itch, tenderness and rapid change before you try a procedure.

Is this scar fully healed enough for massage or silicone? Is its main issue colour, thickness, texture or tightness? Which treatment fits its location and my skin tone? How should I protect the area after treatment, and what changes would need an earlier review?