Second Degree Burns

Second Degree burns affect part of the dermis. Typically this burn is divided into superficial and deep second degree burns. Re-epithelialization occurs from the preserved epithelial appendages.

• Superficial - involves only the most superficial dermis. It presents with blistering or sloughing of overlying skin, causing a red, painful wound. Typically, the burn blanches but shows good capillary refill. Hairs cannot be pulled out easily.
  • Healing occurs within 14 days, typically without scarring and without requiring surgical intervention.

• Deep - involves more of the epidermis with fewer epidermal appendages spared. It may present as blisters, or a wound with white or deep red base. Sensation is usually decreased.
  • Healing takes more than 14 days. Incidence of hypertrophic scarring correlates with the length of healing phase greater than two weeks. Therefore debriding and grafting is recommended by 2-3 weeks.

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