How soon is the right time for surgery for 3rd degree burns and dysfunction in the arm?

  Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.): Gas burns 30% third degree burns 10% deep second degree burns. The burns were mainly on the extremities and face. The time of the incident was 2010.05.16 The same day, he was sent to the hospital for treatment. The main manifestations are: coldness all over the body, epidermis off the flesh and white (like wearing disposable leather gloves) small parts appear small blisters, large blisters also some. Polyposis injury. On 05.17, the epidermis of the arm was cut open with a surgical blade, and on 05.19, the epidermolysis bullosa was performed. Then it was a daily medication change. After a month of burn medication, eighty percent of the skin on the wound has grown out, mainly because I want to consult about the later plastic surgery. The doctor advised us to consider plastic surgery after six months, but in her case (the functional effects of her arm), do we need to have plastic surgery earlier? And then which method and when would be the best time to reshape the scar on the face? How much is it expected to cost (so we can prepare)? What will be the approximate result after the surgery of the package? What are the best hospitals to introduce? Is it possible to use artificial skin and is the artificial skin technology qualified? If the immediate family skin source can be?  Burn surgery: facial scars can be compressed with elastic bandages to slow down the growth of scars. Arm scars affecting function need to be treated early, otherwise the prognosis is poor. Artificial skin technology is still being tested. If the family is well off, composite skin grafts can be used.  Patient: How long does it take to repair the color of the skin on the face? What is a composite skin? What is the approximate price? There are still blisters and ulcers on the arm, what is the best time to reshape it?  Burn surgery: The left upper limb cannot be fully extended and straightened, and it is difficult to make a fist with both hands. Early surgery is recommended to improve function. I don’t know if there is a burn on the abdomen, if not, it can be used as a skin donor area. The lower limb walking should not be affected. It is difficult to change the color of the skin and the main problem is to restore function and live a normal life. The presence of blisters is not an absolute contraindication to surgery. The concept of composite skin is complex and difficult to explain at once. You can look it up online.