How is scar growth after deep second-degree burns treated?

  Patient: Four months after the hot oil burn, the severely burned part of the wound is higher than the rest of the skin and is smooth and shiny. The wound surface is dark red and hard. Itchy and painful, sometimes like pins and needles, sometimes painful, especially at night. The finger joints are stiff and inflexible if the hand is not moved for a while. I can’t move my hand normally until I move it with assistance. The middle three knuckles seemed to be growing tendons, which affected the movement of the joints. I was treated at the Brisbane Hospital in Australia immediately after the burn, and I used burn cream and anti-inflammatory cream, and custom-made gloves for scar compression. He also maintains a certain amount of exercise daily. I am not sure if this is normal as I am still in Australia and can only return to my home country in May this year, what precautions need to be taken in the meantime or what is a good treatment plan available?  Doctor: According to the photos and medical history, this is scar growth after deep second-degree burns, which is currently in its peak growth phase. 4 months after the injury, the scar is still in the unstable proliferation phase. At present, the treatment is conservative: 1. topical anti-scar medication, such as cumeclidin cream ointment, Conrad, Xitropol, etc.; 2. external compression with elastic sleeve is a more effective method; 3. silicone gel and other silicone-containing preparations or paste; 4. laser treatment can also be used; 5. functional exercise The scar will gradually stabilize and atrophy on its own after one year, and the pigment will also However, it is difficult to fully restore the scar to its pre-injury state.