After admission to Burn Center, the burned areas were treated with Silvadene cream. Pain control was given with opioids. It was not possible to determine the extent of the full thickness skin loss then and it was decided to treat the burn conservatively and let it show over time which areas needed skin grafting. A partial surgical debridement was done 6 days postburn and then again 7 days later. Skin grafting was done 20 days postburn. At that time the areas of full thickness burn were covered by thin granulation tissue. All skin grafts showed good take. 4 weeks after grafting, the patient was measured for a compression garment which she wore for 5 months. She was also referred to a beautician for custom designed make up in the scarred areas.
Fig. After application of split thickness skin grafts.
Fig.3. At 3 months she is healed and using covering make up.
Fig. 4. With compression garment to reduce scarring.