Facial scars resulting from burns can have a profound impact on a patient’s social and psychological well-being in addition to the physical deformity. These scars can lead to difficulties in speech and eating due to stretched lips and chin. Eyelid contractures, when present, can hinder the ability to close the eyes fully, potentially irritating and, in the long term, leading to corneal damage and even blindness. Nose burns may result in airway obstruction and breathing difficulties. 

Scarring on the face can result in significant cosmetic deformities that affect daily life, leading to lowered confidence and self-esteem. Loss of eyebrows, ears, and the presence of scar bands on the face can cause individuals to hide their faces even from their family members. Addressing these issues requires early and adequate treatment to improve the patient’s quality of life.

• The patient is typically admitted a day before the surgery, and routine pre-surgery investigations are conducted. During the surgery, scars are excised as needed, and the resulting raw area is covered with a skin graft or a flap from an adjacent area. In cases where tissue expanders are used, the procedure involves two stages. 
• First, an appropriately sized tissue expander is inserted into adjacent healthy skin, which is gradually expanded on a daycare basis after the initial surgery. 
• Once the expander has sufficiently expanded the overlying skin, a second-stage surgery is performed, and the expander is removed. The extra skin is then used to cover the defect created after scar excision.
• Following the surgery, the patient is typically kept in the hospital for 2 to 3 days. The first dressing is usually done after 7 days, and regular follow-ups are conducted weekly. Once the area has completely healed, preventive measures should be taken to minimize scarring on the face. 
• These measures include regular massage with coconut oil, silicone gel, and sheets, as well as sun avoidance.