Skin Repigmentation, Scar Formation and Types of Scars

Skin Repigmentation


Skin color (pigment) returns first with a spotty appearance. The color little by little fills in. Your burned skin may not return to its pre-burn appearance.

Scar Formation

After a thermal injury, normal pressure from the outer and inner layers of the skin and underlying tissue is absent. This results in nodular formation of collagen fibers.

Pressure garments apply external pressure to the collagen fibers so they form smoothly instead of in nodules. This pressure helps to prevent raised scarring referred to as "hypertrophiac scarring."

Hypertrophic Scars


Enlargement or overgrowth of scar tissue due to excessive collagen, which is a protein of the skin. This type of scar tents to get better with time and pressure.

Keloid Scarring

Keloid Scarring is an overgrowth of scar tissue that extends beyond the border of injury. This type of scarring is a genetically inherited trait, and is rare on Burn Survivors.

Your donor site will be painful due to nerve endings being exposed

Pain is common while walking if leg donor sites are present.

Healing time is approximately 10-14 days.

Silver Sulfadiazine is often used for donor sites dressings. Other dressings commonly used are Scarlet Ted and various clear dressings such as Omiderm, Biobrane and Opsite.