This thread has some "pearls of wisdom" related to post treatment scabbing. In order to limit repeating information about why scabbing happens, how serious it is and how to prevent it, please refer to this thread for helpful information.


*Excerpts from Michael Bono's post in the above thread:

"When the follicle is treated (burned), chemical mediators are released from the mast cells that initiate the healing process. Blood vessels in the area become swollen and, consequently, white cells “leak out” into the area to start “cleaning up the job.”

Along with the white cells, blood serum leaks out (carrying with it clotting factors). In a deep follicle, the serum fills the follicle and collects at the skin’s surface … quickly forming a “scab.” Indeed a scab can, and usually, forms from a perfectly treated deep follicle. (The notion of “overtreatment of the epidermis is incorrect: but that’s another lengthy explanation). So, how to mitigate scabs? It’s all about water and keeping the area moist! A “scab” is “junk” … so wash off the junk!

Yes, we have all been taught to never wash with soap and water after a treatment. This goes against common treatment for burns. Anyway, I simply had this patient take a long warm bath every day after the treatment; he complied.

What happens here is that the “scab material” was washed (soaked) away and was unable to form. All of this speeds the ability for the epidermis to bridge the wound gap quickly. The bathing also allows accumulated “junk” (dead white cells and dead material) to NOT fill the follicle: so not pustules. At the appropriate time, I also had him scrum with a soft body brush. (After the bath, he takes a very light shower and washes with Hibiclens ... or other similar detergent ... to guard against infection.)

.....bathing also helps in post-treatment pain. Ideally, the client would also use an oily material afterward (he did not). (Emu oil is excellent, but so is common Vaseline!) I suspect that the success of “Tea Tree Oil” is largely due to it’s oily nature. By keeping the wound moist, a “hard scab” will not form. It’s very difficult to “beat” good old “soap and water!"
Dee Fahey RN CT LLC

Licensed by the State Medical Board of Ohio for Cosmetic Therapy/Electrolysis and the State Nursing Board of Ohio