What should I do about scar growth after pediatric burns?

       Patient: My child is now one week old (male). In May last year, he accidentally spilled cooked instant noodles on his body, mainly under his belly and on his inner thighs. The scars are now hyperplastic, with a dark red shiny surface, and the child always scratches them with his hands at night, which makes them look itchy. I would like to ask if it is okay to deal with this situation and if there is any better way to treat it without delaying the child’s normal development.  Doctor: Scarring in non-joint areas usually does not affect limb development, but scarring in the perineum and breast areas can displace organs. In principle, you can wait until the child is close to adulthood before surgery as long as the functional impact is not significant, and operate as soon as possible when the function has a greater impact. If the child is too young to cooperate, the choice of surgical methods will be limited; secondly, as the child develops, multiple surgeries will be done in the future, and the more surgery is done, the worse it will be. However, please make sure to ask the specialist to decide whether surgery is needed.  Patient: Thank you for your reply, my son is now 14 months old, he was burned at 5 months, I took some photos of my son, please take a look, is there a need for surgery or other related treatment, and what treatment is needed!  Doctor: Currently the child is small and most of the scars are not on the joints and other locations that affect function. According to the photos, 10 months after the injury, the scar is still in the unstable proliferation period. 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-containing preparations such as silicone gel or paste mold 3, laser treatment can also be used. But it is difficult to fully restore to the pre-injury state. It is difficult to restore the scar to its pre-injury state.  Patient: Thank you for your reply, I would like to ask you again, my son’s scar near the perineum is relatively hard and thick, will it affect the child’s future genital development, and where can I buy the drugs you mentioned, and are there any other precautions, such as diet and other aspects. Thank you!  Doctor: The perineal scar will not affect the development of the penis, but when the pubic hair grows at puberty, folliculitis, sebaceous cysts, or concurrent infections may occur. It can be surgically removed earlier. Due to the limited scope of application and population, anti-scarring drugs are not available in general pharmacies, so please go to a specialist hospital to buy them.