Secondary treatment measures refer to all procedures employed in order to improve serious aesthetic and or functional consequential impairments of burns (including those that occurred years ago). Depending on the localization and extent of the burn, joint mobilization, skin excision and skin transplantation may be necessary. The therapeutic goal is to improve the patient’s life quality. The procedure coud also be sole aesthetic and directed in removing the burn scars so that the body’s image can be restored to its original state. However, through a scar removal over joints, a functional improvement can be achieved. Whether an aesthetic or a functional result is desired, all procedures are covered from health insurances. All special techniques being employed have one common goal: the replacement of a scarred area with intact skin. For this purpose, expanders (balloons) can be implanted and stepwise filled with saline so that the overlying skin is stretched and new skin is produced. Local or regional flaps, through rotation or shifting (pulling), can be used as substitutes to cover the scar areas. Sometimes, in the case of a face or hand burn, a thin skin graft is taken from the upper thigh and used as a transplant to cover the defective area. In some cases where the above procedures are not possible, a replacement tissue can be microsurgically harvested from a donor site and then transplanted to the defective area by connecting it to it’s blood circulation. In the case of an ear, nose and reconstruction of other structures, where cartilage is needed, ribs can provide the missing cartilaginous tissue. In our Clinic for Plastic Surgery in Berlin we perform all necessary and appropriate procedures and offer you our long experience in the field of Reconstructive Burn Surgery.

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