Which intervention is most effective in burn care to minimize scar tissue development?

Which intervention is most effective in burn care to minimize scar tissue development?

• A. Moisturizers only.
• B. Pressure dressings.
• C. Sun exposure on scar.
• D. Avoiding any dressings.

Answer: (B)

Applying constant, uniform pressure to a healing burn is the most effective way to minimize scar tissue. This pressure therapy works during the remodeling phase by modulating the biology of scar formation: it reduces capillary blood flow and alters fibroblast activity, which lowers collagen synthesis and helps collagen fibers organize more evenly. The result is a softer, flatter scar with less risk of hypertrophy or contracture, especially in areas prone to thick scarring. This approach is typically used after the wound has epithelialized and is worn as a pressure garment or dressed with specific compression for many hours a day over months.

Moisturizers support skin hydration and comfort but don’t prevent the excessive scar tissue that comes from abnormal remodeling. Sun exposure on a developing scar can lead to pigmentation changes and does not reduce scar formation. Avoiding dressings would increase the risk of infection and poor healing, and it does not offer a mechanism to limit scar development.