Which measure helps reduce scarring after a burn injury?

• A. Apply pressure garments as prescribed
• B. Moonwalk nightly
• C. Avoid wound care
• D. Sun exposure improves healing

Answer: (A)

Using pressure garments to manage burn scars works because constant, evenly distributed pressure over the healing area modulates scar formation. The steady pressure reduces blood flow and fibroblast activity in the scar tissue, which lowers the amount of collagen produced. It also helps align collagen fibers more parallel to the skin surface, leading to a thinner, flatter scar with less stiffness and itching. For best results, wear the garments after the wound has closed, following the clinician’s schedule for many months to a year, and ensure a proper fit to avoid skin breakdown.

Other options don’t support scar reduction. There isn’t a proven benefit to “moonwalk nightly” for scars, and neglecting wound care would impair healing and likely worsen scarring. Sun exposure does not improve healing and can cause pigmentation changes in scars, so protecting healing skin from sun is advised.