So sorry to hear about Jeremy’s accident. Second degree burns are the most painful. But, it looks like everything is healing very nicely. I see no evidence of secondary infection and that’s the most important thing. Sometimes I use the silvadene cream longer than 3 days but I’m not sure it would provide any additional benefit this far out from the injury.
I know this will be hard for him, but I STRONGLY advise him staying out of the salt water for at least a few months… the water would create very high risks of infection. Can’t really comment on the honey, but would be concerned what “critters” it might attract and possibly also increase risk of infection. Using vaseline topically and vitamin E orally might get the best of both worlds.
I think this should all heal up nicely if he follows those directions.
Thanks for the pics. Lovely people…all three of them! And remember to breathe! He will be fine.
His questions are:
Is there anything at all I can advise him to do different?… or better?… to increase his chances of healing? …. From the appearance of the photos he is already healed, meaning the skin has grown back over the area.
…or is there anything at all to do (or to avoid doing?… such as sun exposure?… or salt water exposure? Newly healed skin is sensitive and burns incredibly easily so he should totally avoid sun exposure, I.e. ALWAYS wear sunscreen, and ALWAYS wear the compression sleeve or pants to cover up if he absolutely needs to be in the sun for any practical reasons
…or anything else to avoid doing as it could damage the skin and burns further?) … anything to do and to avoid to decrease the chances of scaring or long term effects 🙁 ?…
Scar massage helps to keep scars flat. This is a large area to massage but if he has areas that he notes are thickening up I would focus my massage on that area. Massage is easier with an emollient (some type of lotion or oil), the type does not matter cocoa butter, coconut oil, vitamin E etc. are all the same.
Is there creams of meds I could buy for him here and mail to him right away to Australia to apply that would help?… or for him to try to find them locally?…
The only cream that is know to improve the appearance of scars are silicone based scar creams, the brand that I give to patients is Biocorneum
He is also asking if you would recommend either putting honey on it or taking vitamin E Supplements? as Jeremy said he read online that those could help?
No, neither of these interventions will make a difference.
scary! but I think he is healing very well. Totally agree with his treatment to date, looks like it is healing well. Compression and TOTAL sun protection are best right now. No salt water for a few months then he will needs to wear wetsuit or a “skin” on his legs for the whole summer. IF he starts to develop thickening of the scars (hypertrophy), I would add a silicone gel twice a day, but for now time and total sun avoidance are most important.
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