2nd degree burn treatment and care: cooling, blisters and scar aftercare

A 2nd degree burn is painful and can easily leave scars. With the right first aid and consistent aftercare, you can give your skin the best chance to recover. In this guide, you’ll learn about second degree burn treatment and what matters most in the healing process.

What is a 2nd degree burn?

A second-degree burn damages the epidermis (outer skin layer) and reaches into the dermis (the layer underneath). The skin looks red, moist and is usually very painful. Blisters are common and need careful protection.

Within second-degree burns, healthcare professionals distinguish between two types:

  • Superficial second-degree burn: the skin looks shiny red or pink, is moist and painful, and usually develops blisters. The healing time for this type is about 2 weeks.
  • Deep second-degree burn: the skin can appear red to whitish, remains moist and very painful, and blisters are present. Healing often takes longer than 3 weeks and may leave scars.
Second degree burn - superficial and deep burn wound

When to seek medical help

If you are unsure how serious a burn is: speak to your GP, call 111 or get help from 111 online. In an emergency, such as a large or deep burn, or one caused by chemicals or electricity, call 999 immediately.

First aid for a 2nd degree burn

Quick and correct first aid can minimise the damage to your skin and reduce the risk of complications. These first aid recommendations align with trusted healthcare sources, including the NHS. For detailed official advice, visit the NHS website.

For the best healing result, follow these steps:

Cooling with water

For the best result, cool the burn as quickly as possible:

  • Act immediately
    Cool the burn for at least 10 minutes under lukewarm running water.
  • Avoid very cold water
    Do not use ice-cold water or ice, as this may cause hypothermia or further skin damage.
  • Let water flow gently
    Allow the water to run over the wound, not directly onto it, to avoid additional irritation.

Do not pierce blisters

Burn blisters are the body’s natural way of protecting damaged skin. The clear fluid inside keeps the wound moist and shields it against infection. For the best healing result, follow these steps:

  1. Leave blisters intact. Do not puncture or squeeze them. An intact blister forms a natural barrier against bacteria.
  2. Keep the area clean. Gently wash around the blister with lukewarm water and mild, fragrance-free soap. Pat the skin dry with a clean towel.
  3. Cover if needed. If the blister is in an area that rubs against clothing, protect it with a sterile non-stick dressing. This reduces the risk of accidental rupture.
  4. If a blister breaks do not peel it off. Carefully trim loose skin with sterile scissors and cover the area with a clean dressing. Apply gentle pressure to hold the dressing in place but avoid anything too tight.
  5. Watch for signs of infection. Increasing redness, swelling, pus or bad smell around the blister are warning signs. If you notice these, contact your GP or another medical professional.

Avoid Sunlight

Burned skin is extremely vulnerable. Sun exposure after burn increases the risk of scarring and slows healing. Cover the area and avoid sunlight for at least two years after the burn.

Managing pain

Pain from 2nd degree burns can be intense. Over-the-counter medication such as paracetamol or ibuprofen can help ease discomfort.

Elevating the burned area can also reduce swelling and pressure-related pain.

When to seek medical help

Small burns can often be treated at home, but you should seek medical help if:

  • The burn is larger than 8 cm (about 3 inches).
  • The burn is on the face, hands, feet, genitals, or over a major joint.
  • Signs of infection appear (increasing pain, pus, spreading redness, fever).
  • The person is a child under 5, an older adult, or has a weakened immune system.

Aftercare once the wound is closed

Once a second-degree burn has closed, aftercare becomes essential. The skin then passes through three natural healing phases.

In the first, inflammatory phase, which lasts a few days, the body reacts with redness, swelling and warmth as the immune system works to prevent infection.

During the repair phase, usually between one and three weeks, damaged tissue is cleared away while new cells and blood vessels are formed; the wound gradually closes.

This is followed by the remodelling phase, which can last for weeks to months. In this stage, collagen fibres are reorganised so that the scar becomes stronger and flatter. Good scar care during this period makes the biggest difference.

During this recovery, the skin often feels dry, itchy and tight. Without good hydration, the chance of visible scarring increases.

Second degree burn with burn blister

Using a scar cream

A good medical moisturising cream helps keep the skin hydrated, making it feel more comfortable. Studies show that hydration reduces redness and itch and helps the skin stay flexible. ALHYDRAN is developed for this purpose and supports scar healing by improving skin elasticity and soothing irritation.

When to start using a scar cream?

For a superficial second-degree burn, you can usually begin after about two weeks, once the wound has fully closed.

In the case of a deep second-degree burn, it often takes around six weeks before scar care can start. Always consult a healthcare professional before applying a cream in these situations.

Explore ALHYDRAN cream

Burn scar cream

Hydrates, softens and helps prevent scarring

ALHYDRAN reviews

I have used ALHYDRAN cream for a burn on my hand. The burn has healed nicely and is nearly no longer visible.

Sylvia

Recently I had a serious accident, now I have 1st and 2nd degree burns on my chest and stomach. After applying ALHYDRAN I felt a strong relief of the itching, pain and dryness of my bandaged skin. Within a few days my skin became smoother and the scars faded.

Robby

ALHYDRAN is a great product. I'm using it after an ugly burn on my hand. The visual result is fantastic! Never thought it would be that good. Thanks.

Chris

Long-term scar care

Burn scars can continue changing for months or years. Ongoing care helps prevent raised or thickened scars. Options include:

  • Hydration: applying medical creams to maintain moisture balance.
  • Silicone therapy: use silicone sheets or gels alongside creams.
  • Pressure therapy: wear compression garments to help flatten scars.
  • Sun protection: always protect scars from UV exposure.

Daily life and recovery

Healing skin is delicate. Follow these practical tips:

  • Wear loose, soft clothing to reduce friction.
  • Avoid hot baths or harsh soaps, which dry out the skin.
  • Keep moving gently to avoid stiffness and promote circulation.

Be alert for persistent itch or tightness. Regular hydration can help relieve these symptoms. If the complaints remain severe, consult your doctor.

2nd degree burns pictures: before & after

Flame burn on lower leg

After 1 year ALHYDRAN

  • Excellent color results
  • Improved elasticity of the scar
Download case study

Hot water burn (scald)

After 4 months ALHYDRAN

  • Improves skin flexibility
  • Reduces itching and redness
Download case study

Second degree fireworks burn

After 14 months ALHYDRAN

  • Skin improved rapidly
  • Itching disappeared immediately
Download case study

Summary: the key advice for burn recovery

  • Cool immediately for at least 10 minutes with lukewarm water.
  • Do not pierce blisters.
  • Avoid sunlight for at least 2 years.
  • Start scar care with a medical cream like ALHYDRAN once the wound is closed.
  • Use pain relief as needed and elevate the burned area if possible.
  • Seek medical help when burns are large, infected, or in vulnerable locations.

Good first aid and consistent aftercare can reduce scarring and support better healing.

Frequently Asked Questions

No. You should not use ALHYDRAN on open wounds, or skin perforated by stitches that has not yet healed. Start using ALHYDRAN immediately after wound closure.

Apply 3 times a day: in the morning, at midday, and in the evening. If your skin is very dry, you can apply more often. A thin layer is sufficient.

Yes. Research shows that ALHYDRAN can be safely combined with pressure garments or silicone sheets. This combination supports skin recovery and helps to reduce scar formation.

Burn scars can last for a long time and, in many cases, are permanent. How they change over time depends on factors such as burn depth, wound healing, and scar care.

  • After a burn wound closes, scar tissue forms. This tissue often grows in an uncontrolled way and can remain visible, thick, red, or tight for months to years.

  • Without proper treatment, scars may become abnormal (hypertrophic scars or keloids), which can last indefinitely and cause complaints like itching, pain, or restricted movement.

  • With good aftercare, including hydration and scar management, scars generally fade, soften, and become less noticeable over time. However, even faded scars usually do not disappear completely.

Burn scars can improve for years but rarely vanish entirely. Hydration & UV protection can help scars fade faster, reduce complaints (itching, redness, tightness), and prevent abnormal scar growth.

References

We believe it is important that our claims are backed by evidence. The information we share is based on scientific research, clinical studies, and specialist experience worldwide.

  • Case study: ALHYDRAN in combination with pressure therapy improved scar flexibility and reduced redness and itch. LotuS MDC, Turkey
  • Hoeksema, H., & Monstrey, S. (2013). Scar management by means of occlusion and hydration: A comparative study of silicones versus a hydrating gel-cream. Burns, 39(6), 1437–1448. https://doi.org/10.1016/j.burns.2013.03.025
  • Hoeksema, H., Van Gastel, K., Van Geertruy, V., Lafaire, P., Verbelen, J., & Monstrey, S. (2013, September). Development of a new brochure making aftercare of burns more understandable for patients. Poster presented at the European Burn Association Congress, Vienna, Austria.
  • Ziegenthaler, H. (2010). Effect of scar treatment products on unpleasant physical manifestations in patients suffering from extensive burn scarring. DAV Congress, Austria
  • Rijkenberg, R. (2015). Use of ALHYDRAN cream in the treatment of burn scars following a chemical explosion: A case study. EBA Congress
  • Klotz, T., Kurmis, R., et al. (2017). Moisturisers in scar management following burn: A survey report. Burns, 43(6), 965–972
  • Veel, K. (n.d.). Case ALHYDRAN: Second degree burn [Case study]. BAP Medical B.V. https://www.bap-medical.com
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