The procedure for burn surgery is first to assess the goals.  The goals of reconstructive burn surgery should be to improve both the function and the cosmetic appearance of burn scars. This involves altering scar tissue, with both non-operative and operative treatment.

Non-operative therapies might involve scar massage, the use of pressure garments, and or topical therapies.

Surgical options consist mainly of releasing tight scar tissue and closing open wound areas.

There are a variety of ways to close these wounds depending on a patient’s needs. Skin grafts or skin flaps could be used, depending on the location of the scar and a patient’s personal goals. Tissue expansion can also be used to cover large burn scar areas. Good results are commonly attained when performing tissue expansion to regions of the face, trunk, and neck.