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Layers Healing

Type Appearance Texture Sensation Prognosis Example


involved Time
Heals well;
Repeated sunburns
Superficial Red without
Epidermis Dry Painful 510 days increase the risk of
(1st-degree) blisters
skin cancer later in
life
Superficial
Extends into Redness with Local
partial
superficial clear blister. Very less than 2 infection/cellulitis
thickness Moist
(papillary) Blanches with painful 3 weeks but no scarring
(2nd-
dermis pressure typically
degree)
Yellow or
Deep partial Extends into Scarring,
white. Less Pressure
thickness deep Fairly contractures (may
blanching. and 38 weeks
(2nd- (reticular) dry require excision and
May be discomfort
degree) dermis skin grafting)
blistering.
Scarring,
Prolonged
Full Extends Stiff and contractures,
(months)
thickness through white/brown Leathery Painless amputation (early
and
(3rd-degree) entire dermis No blanching[ excision
incomplete
recommended)
Extends
through Amputation,
entire skin, significant
Black; charred Requires
4th-degree and into Dry Painless functional
with eschar excision
underlying impairment, and, in
fat, muscle some cases, death.
and bone

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