#Chemical burn scar on face skin

Almost all characters were isolated from the other characters and only five had friends. The Phoenix Society reported a review of 32 films produced between 19 that portrayed burn survivors in a very negative light. This persona has been portrayed by many of movies or television shows. It is a sad statement that facial deformity is associated with being evil in our society. Children tend to feel that there is something wrong with the scarred person and either cry or taunt the person. Even polite people will stare and, with good intentions, ask what happened. Any deviation from normal leads to immediate notice from the public and, often, stares and questions. Attractive faces are admired and regular faces are accepted. Our identity in in society is dictated by our face. One must wait for granulation to form before any grafting attempt. It is not possible to excise ears since cartilage would be exposed and grafts will not vascularize.

Deformity of burned ears tends to be common.

#Chemical burn scar on face skin

The skin of the external ear sits on cartilage so that any third-degree burn may lead to cartilage exposure and predispose this relatively avascular area to infection (chondritis). Contractures of the nasal alar and shrinkage of the nostrils are difficult problems. The nose skin, lying on cartilage and bone, has very little buffer to prevent exposure of these ungraftable structures. Some parts of the face have very little fat, are very thin and prone to contractures. Reducing this laxity is the premise of face lifts or, even more relevant, the “controlled” burn of a chemical peel. With aging, the skin loosens and thus is more tolerant of shrinkage. Contractures are more of a problem in children since their skin lacks laxity. Since the head is usually flexed or at least in a neutral position, neck contractures are another common problem. Even small burns such as those seen after chewing an electric cord that leads to a commissure burn leave permanent scars. The eyelids are prone to forming ectropions, and shrinkage of the commissures or eversion of the lips is not uncommon. This problem is particularly important for eyelids and lips since they provide little resistance to the forces of contraction. Any small but deep burn in these areas tends to shrink with little resistance and is more prone to contractures. The remainder of the face sits on fat and muscle and is highly mobile. Deep burns may lead to exposed skull, which becomes a very difficult problem. Burns to the forehead tend to contract less than burns in other areas. The forehead skin sits mostly on bone and has little flexibility. There are some anatomic issues that affect the ultimate outcomes of face burns.

The increased blood supply should also be kept in mind when excising the face since bleeding exceeds that of any other area of the body. The face is extremely vascular so that heat is dissipated to reduce severity of injury. The more blood supply, the greater the ability to dissipate heat and reduce the depth of injury. The fourth factor is blood supply of the skin. Face skin is relatively thick in most parts, except for the eyelids, and thus burns are not usually as deep as thinner areas. The third factor is the thickness of the skin. Since there is rarely any clothing on the face, duration of contact is minimized. In addition, any material that absorbs the heat and stays in contact with the skin will deepen the burn. The second, duration of contact, can be reduced since people tend to protect their faces by shaking or wiping off any hot material as soon as possible. The first, the temperature of the inciting agent, cannot be altered. Four factors are classically described to determine the depth of a burn injury. Fortunately, the face has some protective characteristics that can reduce the depth of injury. Spilled liquid from high places will reach the head and face of children. For instance, flash burns, such as those from explosive fumes (propane, natural gas or butane) will burn any exposed skin but spare those covered with clothing. Therefore, any exposure to heat in the vicinity of the face may cause a burn. The face is at a higher risk of burn injury because it is rarely covered by clothing or other protective gear.