Understanding Tissue Expanding for Burn Scars
Tissue expanding can improve the look of your child’s burn scars. It’s a reconstructive technique. It slowly stretches a healthy patch of skin. This extra skin is then used to cover or replace scarred skin.
For the treatment, an expander is put under your child’s skin. An expander is an implant. It is made out of silicone. It has a small tube and a valve on it. Through the tube, the expander is inflated with saline. Regular filling of the expander over time stretches the skin.
Why tissue expanding is done
Tissue expanding can provide healthy skin that matches the color and texture of a burned area. It is often used for burns on the face and neck. It is also good for those on the scalp because hair will often grow back.
How tissue expanding is done
For this treatment, a surgeon must first put the expander under the skin. This part happens in a hospital. During the procedure:
Your child is given medicine to make him or her sleepy. Your child won’t feel any pain.
The surgeon makes a small cut in your child’s skin next to the burn scars.
He or she puts the expander under the skin.
The expander is filled with saline.
The surgeon closes up the cut.
Your child may need to take antibiotics after the procedure to prevent infection.
After the incision has healed, your child will see his or her healthcare provider regularly over several weeks to have the expander filled. This will stretch the skin. Once the skin has been stretched enough, the expander will be taken out. The surgeon will then be able to use the extra skin to cover the burn scars. He or she will take steps to minimize any scars from the surgery.
Tissue expanding can be repeated. But the skin in an area may thin over time, making it harder to do.
Risks of tissue expanding
Expander may move out of place
Expander may leak or break
Expander port may break
Bad bruise where the expander is placed
March 21, 2017
Englehardt T, et al. Plastic and Reconstructive Surgery In: Cote CJ, ed. Practice of Anesthesia for Infants and Children. Philadelphia: Saunders; 2013:697-711., Fortner PA. Review of Burn Treatment: Early Care to Current Practices. Perioperative Nursing Clinics. 2012:1-8., Klein MB. Reconstructive burn surgery In: Neligan PC, ed. Plastic Surgery. Phildelphia: Elsevier; 2013:500-10., Marks MW, et al. Principles and applications of tissue expansion In: Neligan PC, ed. Plastic Surgery. 3 ed. Philadelphia: Elsevier; 2013:622-53., Principles of burn reconstruction: Overview of surgical procedures. Up To Date; 2016. Accessed November 29, 2016., Wallace A. A Burn Intensive Care Unit Nurse's Perspective. Perioperative Nursing Clinics. July 1 2012;7(1):71-5.
Bass, Pat F III, MD, MPH,Turley, Ray, BSN, MSN