What should you know about scars from a second-degree burn?

A second-degree burn damages the outer skin and part of the deeper skin layer. If healing takes longer or the injury is deeper, the body may make extra collagen, leaving a thick or firm scar. Some scars stay flat but have a different colour or surface. Itching, sensitivity, and tightness can continue while the scar matures, especially across a joint or another area that moves often.

Once the wound has fully closed, protect the area from sunlight and keep it moisturised. Gentle massage may soften a healed scar, but stop if the skin breaks, becomes painful, or turns increasingly inflamed. A dermatologist or burn team can assess whether silicone-based care, pressure therapy, fractional laser treatment, scar revision surgery, or a skin graft fits the scar’s depth and movement limits. Do not apply strong products to an open wound.

Arrange prompt medical care if the burn is still open, drainage or spreading redness appears, pain is worsening, or you develop fever. Seek assessment for a scar that crosses a joint, restricts movement, grows rapidly, bleeds, or becomes persistently painful. A clinician can also review a scar that is causing distress or interfering with daily activities.

Ask whether the wound is ready for scar treatment, which features suggest a raised or tightening scar, and how to protect the area during healing. You can also ask how long to continue massage or moisturising, whether laser or surgery is appropriate, and what changes should trigger an earlier review.