Damage to the skin from heat or cold.

Burns

A burn is an injury to the skin. This involves prolonged exposure of the skin to heat, extreme cold, a chemical or electricity. The skin is damaged. Depending on various factors (temperature, time the heat source acts on the skin, cause, age of the victim and location on the body), the depth of the burn may vary. Depending on the depth of the burn, the epidermis (top layer of skin) or even the dermis (dermis/deep layers of skin) can be damaged and cause symptoms.

Huidzorg West is a network partner of the Dutch Burns Foundation and affiliated with the Skin Therapy Network. We have skin therapists who specialise in aftercare for burn scars and can therefore offer the most appropriate care.

Frequently asked questions about burns
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Treatments against Burns

Depending on the lesion left by the burn, the specialist skin therapist will determine which therapy is most suitable.
The symptoms can be relieved by using special massage techniques, endermotherapy or deep oscillation.

Furthermore, the skin therapist can offer help in learning to apply special water- and smudge-proof camouflage products, so that your skin looks even and cared for.

Treatments against Burns

Frequently Asked Questions

Burns

If the scar limits your movements, some health insurers will reimburse part of the cost of scar therapy and sometimes the entire cost. This also depends on the type of health insurance you have taken out. To be certain, contact your insurer so that you know what to expect.

As every skin and every scar is different, the result differs from person to person. During an initial consultation, we will provide you with a realistic picture of what may be possible in your situation.

At Huidzorg West, there are skin therapists who specialise in aftercare for burn scars. For people with burn scars, the post-hbo programme Skin Therapy after Burns has been developed by the Hogeschool Utrecht together with the Dutch Burns Foundation and specialists from Dutch and Belgian burn care.

Naturally, these different therapies can be used for scars left after a burn. Wound care can also be applied to a burn at an earlier stage.

The severity of burns consists of three different grades:

First degree

In a first-degree burn, the top layer of skin is red/pink. The skin can be dry, painful and sometimes swollen. Sometimes this can also be confused with an inflammatory reaction. The skin is not broken with a first-degree burn, but the first-degree burn can be very painful.

Second degree

A distinction can be made between a superficial or a deep second-degree burn:

  • Superficial second-degree burn: the skin is red/pink. The skin is more severely damaged and often blisters, the skin can feel wet and is very painful.
  • Deep second degree burn: The skin colour is red/white. Blisters are present, the dermis is also more damaged.

Third degree

A third degree burn is the most severe burn. The skin can be white, beige/brown or black in colour. The skin is damaged down to the subcutaneous fatty tissue. The nerve endings in the skin are damaged, so hardly any pain is experienced. The skin is dry and feels leathery to the touch.

Burns are caused by heat. This heat can have different sources, such as a chemical, fire, hot liquid, electricity or extreme cold. The longer the skin is exposed to this heat source, the more severe the burn can become. Scars may remain after the burn has healed.

Various treatments are given at Huidzorg West for the aftercare of burns. The choice of treatment is made on the basis of the symptoms that have developed after burns, for example:

  • Wound care if the wound has not yet healed
  • Aftercare for the scars by means of:
    • Pain relief
    • Reduction of movement restriction
    • Camouflage

Scar therapy, oedema therapy, fractional laser treatment, camouflage therapy, IPL vascular structures and wound care.

Depending on the symptoms associated with the burn, burn care may be reimbursed under your supplementary insurance. Always consult your health insurer for more information about your supplementary package and the possible reimbursement.

A burn injury and its consequences are very uncomfortable. After treatment by your doctor or in hospital, you can improve the scar at home if the wound has healed properly.

The skin therapist can prescribe silicone plasters or gel, which should be used daily. The silicone in the gel or patch seals the skin, creating a more pleasant environment. The remaining scar thus becomes more supple, improves in colour and can be flattened.

The use of a moisturising cream is strongly recommended. It promotes the recovery and hydration of scars.

In severe cases, the skin therapist may recommend a compression garment. This is used to apply pressure to the affected skin. This reduces the swelling of a scar, reduces itching and protects the vulnerable skin. This compression garment can be worn under clothing and thus improve the scar.

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