Burns

A burn is a particular type of surface injury occurring to the skin, typically in response to heat/high temperatures (including sun burn), or exposure to electricity and certain chemicals like acids. Burn injuries can range from minor scalding, to significant and life-changing burns which may be very deep, extensive in area or both. In the event of large, deep or chemical burns, or any burns that occur in children or on the face, neck, hands, joints or genitals, it is recommended to seek immediate medical attention at your closest A&E department.

Burns can initially be painful or painless and appear either red and blistered, pale or even charred, depending on the depth of the injury. However, following appropriate first aid and initial treatment, the recovery following significant burn injuries can be challenging. The resultant scarring, symptoms and psychological effects can cause a number of problems, which can impact the individual’s quality of life.

Mr Ioannis Goutos is a leading plastic surgeon, with an excellent reputation in both the academic and clinical field of burns and scars. He is a skilled and experienced surgeon and takes particular care to ensure that all aspects of his patients’ care are addressed, including physical, psychological and social factors. Each patient will undergo a thorough assessment and be able to discuss all of their treatment goals to ensure a tailored and individual treatment plan that is right for them.

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About this condition

Burns are most commonly classified based on their depth. This helps to determine the appropriate initial medical treatment and also affects the long term outcome of the injury. The skin structure can be thought of in 3 layers:

Epidermis – the most superficial layer of the skin, which contains different types of skin cells including melanin (i.e colour) producing cells.
Dermis – the deeper tissue of the skin ,which contains small blood vessels, nerves and hair follicles.
Subcutaneous tissues/fat – the deepest layer which separates the skin from the underlying muscle. It contains larger blood vessels and fatty tissue.

The appearance and symptoms of a burn injury will depend on which skin layer the injury reaches.

Superficial epidermal burn: this only affects the most superficial layer of the skin. It can be painful and red in appearance but should not cause any blistering.
Superficial partial thickness burn: this will damage the epidermis and also the top of the dermal layer; it typically causes blistering in addition to pain, swelling and redness.
Deep partial thickness burn: this is when the burn injury has caused damaged to the epidermis and a large part of the dermis. It can cause pain and blistering, although if it is deep enough, the wound may appear blotchy, dry and painless
Full thickness burn: these occur when the burn injury has penetrated all 3 layers of the skin. These are typically painless and will appear very pale or leathery.
Significant burn injuries require prompt and effective first aid measures to prevent the individual from becoming unwell. Due to the breakdown of the skin and its natural properties, those with burn injuries are at a high risk of dehydration and infection until the damaged skin has healed or been repaired.

Once healed, the new skin will be particularly sensitive to sunlight, chemical exposure and temperature, which can all cause additional irritation. It is recommended to look after any burn-related scars by ensuring good skin hygiene, avoiding any products containing irritants, and regular moisturisation with a non-perfumed cream or ointment. Massage techniques can also be helpful in promoting and maintaining good scar quality.

Unfortunately, some individuals experience scarring that causes long term pain or itch. If the injury has occurred over a large area of skin or overlying a joint, the scarring may become contracted and cause problems with movement. Many people with scarring related to burn injuries also experience feelings of low mood or anxiety and can have concerns about their appearance leading to low self-esteem and confidence. Although difficult to treat, there are a number of effective options to help reduce the effects of burns and scarring in the long term. Optimal management often requires the input of a multi-disciplinary team of clinicians who are experienced in managing individuals with burns.

Treatment options to reduce the symptoms and appearance of burns include:

Topical treatments, such as silicone gels/strips
Compression garments
Laser treatments
Needling sessions
Steroid injections
Surgical management, including scar revision surgery, artificial skin, skin grafting and tissue expander treatment. The most appropriate surgical procedure will be dependent on the type, location and associated symptoms of the scarring.

As well as reducing the physical appearance of the scars, it is also important to address any psychological or emotional factors associated with burns injuries, as this can have a significant influence on an individual’s recovery. Some people may also benefit from physiotherapy or occupational therapy to help them return to their normal activities.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

    
 
 
       Posted on Google  
    Louise Steel 
 
 
 
  Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation,  through surgery, and now my 3-month follow-up, I have nothing but good words to say.
  
 
      Posted on Google  
    Luke Ward 
 
 
 
  This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable.

All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour.

I wish nothing but the best for this man, and the best results for his future patients.
  
 
      Posted on Google  
    Mauricio Lucas 
 
 
 
  Outstanding Doctor - Exceptional Expertise

I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner.

Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients.

What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears.

One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession.

Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process.

Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.
  
 
      Posted on Google  
    Kashmala Khan 
 
 
 
  Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!
  
 
      Posted on Google  
    Javier 
 
 
 
  Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many.

I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.
  
 
      Posted on Google  
    Ieva Lihovida-Yarlett 
 
 
 
  We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus  was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!
  
 
      Posted on Google  
    Amy Munson 
 
 
 
  We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone!
The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field.  Can't thank him enough.
  
 
  
  
 
 
   Google rating score: 4.7 of 5, based on 26 reviews