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Advanced Burn Reconstruction & Scar Rehabilitation in Hyderabad | Cosmo Radiance

Advanced Burn Reconstruction & Scar Rehabilitation in Hyderabad

Restore mobility and confidence with advanced contracture release, tissue expansion, and skin grafting at Cosmo Radiance, Hyderabad. Our board-certified M.Ch surgeons provide evidence-based, specialized care for complex burn scars.

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Restore Function and Reclaim Your Confidence Through Advanced Surgical Reconstruction

Specialized contracture release and tissue expansion by board-certified M.Ch surgeons.

Functional & aesthetic reconstruction | NMC-compliant hospital | Hyderabad

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*Functionally restorative procedures are typically eligible for medical insurance coverage. All reconstructions performed by Senior M.Ch Plastic Surgeons under strict NMC guidelines.

* Complex multi-stage reconstructions are performed exclusively by board-certified M.Ch Plastic Surgeons in Class-100 HEPA-filtered modular operating theatres.

Restoring Freedom of Movement and Expression

Deep-partial and full-thickness burns often heal by secondary contracture, locking joints in a functionally frozen state. Our reconstructive focus is twofold: functional release to restore range of motion and aesthetic refinement to improve texture and color. For extensive burns, we utilize advanced tissue expansion to safely grow adjacent, healthy, color-matched skin to replace disfiguring scar tissue.

"Surgically giving you back the freedom to move, and the psychological confidence to be seen."
Advanced burn reconstruction and contracture release surgery at Cosmo Radiance, Hyderabad

Clinically Established Outcomes

Our burn reconstruction procedures focus on evidence-based protocols to deliver highly precise functional and aesthetic outcomes for our patients.

Clinical statistics reflect aggregate outcomes; individual results may vary.

Figures shown are based on internal clinical data and do not constitute a promise or guarantee of specific results. Outcomes depend on individual patient factors. All procedures are performed by qualified medical professionals in compliance with NMC guidelines.

Aesthetic Benefits

Replacement of rigid scar tissue with supple, healthy skin
Restoration of vital facial landmarks and symmetry
Smoother and more homogenous overall dermal texture
Reduction in the 'pulled' appearance of severe scars
Improvement in scar pliability through rehabilitation

Medical Benefits

  • Long-lasting restoration of full joint mobility

    Clinical Improvement

  • Correction of functional deformities like ectropion

    Clinical Improvement

  • Improved skin integrity and protection of underlying structures

    Clinical Improvement

  • Enhanced quality of life through physical independence

    Clinical Improvement

Specialists For This Treatment

Dr. Dr. Prem Sunder Thum - Director & Consultant Plastic, Reconstructive and Cosmetic Surgeon

Dr. Prem Sunder Thum

Director & Consultant Plastic, Reconstructive and Cosmetic Surgeon

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Dr. Dr. Niharika Manne - Consultant Plastic Surgeon

Dr. Niharika Manne

Consultant Plastic Surgeon

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Dr. Dr. M. Arjun Reddy - Specialist

Dr. M. Arjun Reddy

Cosmetic & Plastic Surgeon

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Why Consider This Treatment
at Cosmo Radiance?

Board-certified M.Ch plastic surgeons with over a decade of specialized experience at Cosmo Radiance

01

Class-100 HEPA-filtered modular operating theatres with in-house ICU support

02

Integrated in-house physiotherapy team for durable functional mobility gains

03

Advanced laser rehabilitation integrated into the post-surgical care pathway

04

Transparent surgical planning with dedicated insurance billing support

05
NMC Compliant Facility

Clinical Safety Infrastructure at Cosmo Radiance

Class-100 modular operating theatres with HEPA filtration

Fully equipped in-house ICU for patient safety

MD anesthetists experienced in prolonged reconstructive cases

Structured post-operative wound surveillance and care protocols

24/7 Tertiary Care Backup & ICU Facility

Safety Protocol: Enabled

Ideal Candidates

Patients with severe contractures that physically restrict range of motion

Individuals presenting with thick, painful, or hypertrophic burn scars

Burn survivors dealing with facial disfigurement or structural distortion

Patients whose primary burn wounds have achieved full clinical maturation

Non-smokers committed to long-term post-operative physiotherapy

* Final candidacy is determined during a 3D Vectra H2 imaging consultation.

What is Advanced Burn Reconstruction & Scar Rehabilitation?

Burn reconstruction is a specialized continuum of surgical interventions designed to restore the physiological function and aesthetic appearance of skin compromised by severe thermal, chemical, or electrical burns. The primary clinical target is the 'contracture'—a restrictive fibrotic band of scar tissue that limits joint mobility. Our M.Ch surgeons utilize advanced protocols to release these tight bands through contracture release surgery. The resulting soft-tissue defects are meticulously reconstructed using autologous skin grafts, local pedicled flaps, or progressive tissue expansion to restore both functional mobility and aesthetic confidence.

Target Areas

Cervical Region (Neck)Release of Mentosternal Contractures (Restoring Head Turn)
Hands & DigitsSyndactyly Release (Restoring Functional Grip)
Major Joints (Axilla/Elbow/Knee)Restoring Full Range of Motion
Facial FeaturesOculoplastic & Perioral Aesthetic Repair

Types of Treatment

  • Top RecommendedContracture Release Surgery
    Gold Standard
  • Top RecommendedAutologous Skin Grafting (STSG/FTSG)
    Gold Standard
  • Top RecommendedZ-Plasty Tissue Rearrangement
    Gold Standard
  • Tissue Expansion
  • Local & Free Flaps

Cosmo Advanced Reconstruction vs. Basic General Surgery

Why settle for standard when you can have high-definition?

Primary Reconstructive Technique

VS

Cosmo Radiance (M.Ch Plastic Surgery)

Simple, basic release and thin skin graft

General Surgery / Basic Burn Care

Advanced Pedicled Flaps / Tissue Expansion

Aesthetic Tissue Match

VS

Cosmo Radiance (M.Ch Plastic Surgery)

Often results in a highly 'patchy' or mismatched look

General Surgery / Basic Burn Care

Perfectly matched in Color, Thickness & Texture

Post-Operative Rehabilitation

VS

Cosmo Radiance (M.Ch Plastic Surgery)

Basic surgical dressing changes only

General Surgery / Basic Burn Care

Integrated CO2 Laser Rehab & Custom Pressure Therapy

Primary Clinical Goal

VS

Cosmo Radiance (M.Ch Plastic Surgery)

Basic, functional wound closure only

General Surgery / Basic Burn Care

Maximized Range of Motion + Aesthetic Blending

Advanced Technology

Microsurgical Instrumentation + Candela CO2RE Laser
US-FDA Approved Tech

Microsurgical Instrumentation + Candela CO2RE Laser

  • Pneumatic Dermatome: A precision, calibrated surgical instrument utilized for harvesting perfectly uniform split-thickness skin grafts.
  • Medical Tissue Expanders: Specialized, sterile silicone balloons utilized to safely stretch and generate new, vascularized skin.
  • Microsurgical Operating Loupes: High-power magnification utilized for the meticulous anastomosis (connection) of tiny blood vessels during Free Flap transfers.
  • Candela CO2RE Laser: The global gold standard fractional laser utilized post-operatively for exceptional CO2 laser burn scars textural blending.

The Cosmo Radiance
Clinical Advantage

Advanced Tissue Expansion

We use silicone expanders to grow healthy adjacent skin, providing the best color and texture match for scar replacement.

Reconstructive Microsurgery

Advanced flap techniques allow us to transfer healthy tissue with its own blood supply to cover deep defects.

Fractional Laser Rehabilitation

Post-operative laser therapy softens rigid tissue and blends surgical edges for superior aesthetic outcomes.

Integrated Physiotherapy

Our physiotherapy team works from day one to ensure surgical release translates into permanent mobility gains.

Preparation Tips

  • 01

    Cease all nicotine consumption at least four weeks before surgery

    Pre-Op Requirement
  • 02

    Complete all pre-operative investigations and nutritional assessments

    Pre-Op Requirement
  • 03

    Maintain high protein and vitamin intake for optimal wound healing

    Pre-Op Requirement
  • 04

    Arrange for a caregiver to assist during the initial recovery period

    Pre-Op Requirement

Procedure Steps

01

1. Clinical Functional Assessment

The M.Ch surgeon meticulously evaluates the severity of the scar tightness (vector of contracture) and identifies viable, healthy donor skin sites.

02

2. Precision Surgical Release

Performed under general anesthesia; the restrictive fibrotic scar bands are completely excised or incised, instantly allowing the joint to fully open.

03

3. Defect Reconstruction

The resulting large, open surgical defect is immediately and securely covered utilizing a customized Skin Graft or an adjacent Pedicled Flap.

04

4. Rigid Immobilization

The reconstructed joint is securely splinted in a fully extended position for 5 to 7 days to prevent graft shearing and ensure complete vascular integration.

05

5. Aggressive Rehabilitation

Mandatory, intensive physical therapy is initiated immediately post-graft-take to maintain the newly acquired range of motion.

Recovery Timeline

Hospital Stay (Day 1-3)

Patients remain admitted for continuous clinical monitoring to ensure optimal graft uptake and manage acute post-operative pain.

Milestone

Day 7

Primary surgical dressings are carefully removed; graft viability is officially confirmed. Protective splints may remain in place.

Milestone

Week 3

The skin graft is fully vascularized and integrated; patients must actively commence gentle, supervised massage and physiotherapy.

Milestone

Month 3-6

Reconstructive scars undergo significant maturation; if utilized, the Tissue Expansion protocol is completed with the final advancement surgery.

Milestone

Recovery & Aftercare

Mandatory Physiotherapy

Mandatory

You must rigorously and consistently perform prescribed stretching exercises to prevent the new scar tissue from contracting and freezing the joint again.

Duration: 3-6 Months

Mechanical Pressure Garments

Mandatory

Custom-fitted pressure garments must be worn faithfully for 23 hours a day to induce tissue hypoxia, keeping the maturing scars perfectly flat.

Duration: 6-12 Months

Strict UV Protection

Healed grafts lack normal melanocyte distribution; you must diligently protect them from direct sun exposure to prevent severe hyperpigmentation.

Duration: Lifetime

Long-Term Results

Sustained restoration of joint range of motion

Progressive improvement in scar pliability over 12-24 months

Durable correction of functional facial deformities

Improved psychological wellbeing and social reintegration

Non-Surgical Alternatives

  • Custom Mechanical Pressure Garments: Worn 23 hours a day to induce tissue hypoxia and physically flatten hypertrophic burn scars.
  • Medical-Grade Silicone Gel Sheets: Applied consistently to modulate collagen synthesis and increase stratum corneum hydration.
  • Intralesional Corticosteroid Injections: Administered to rapidly reduce localized inflammation, severe pruritus (itching), and scar thickness.

Risks & Complications

Graft Failure or Necrosis (A recognized clinical risk, significantly higher in active smokers or if the graft is subjected to premature mechanical shearing).

Surgical Site Infection (Strictly managed and heavily mitigated by our Class-100 OT sterility and prophylactic intravenous antibiotics).

Clinical Recurrence of the Contracture (Virtually guaranteed to occur if the patient fails to comply with the mandatory, aggressive post-operative physiotherapy regimen).

Donor Site Scarring (The area where the healthy skin was harvested will heal, but will leave a permanent, albeit manageable, textural change).

Regulatory Compliance

Uncompromising Medical Safety Protocols

Specialist-Only Execution

Only board-certified M.Ch plastic surgeons perform these intricate tissue transfers.

Evidence-Based Planning

Every surgical plan is tailored to the patient's specific physiological needs.

Sterile Environment

All surgical procedures are performed in Class-100 modular operating theatres to ensure an extremely low infection risk.

Hyderabad's Advanced Centre for Complex Burn Rehabilitation

Cosmo Radiance is an NMC-compliant tertiary-care hospital serving burn survivors across India. Led by board-certified M.Ch plastic surgeons, we merge precise microsurgery with aggressive in-house post-operative physiotherapy.

Treatment Investment

Starting Estimate

₹35,000INR*
All-Inclusive
EMI Available

Understanding your burn scar plastic surgery cost is critical. Experience definitive, hospital-grade functional restoration. Transparent clinical pricing starts at ₹35,000 for minor Z-Plasty contracture releases. Your comprehensive surgical quote is highly variable based on anatomical complexity, graft requirements, and the necessity for multi-stage Tissue Expansion. Full medical insurance documentation assistance is provided for functionally restorative cases. 0% EMI financing is available.

*Final cost depends on BMI grading, treatment zones, and clinical complexity.

Frequently Asked Questions

We are the leading choice for severe burn survivors across Jubilee Hills, Madhapur, and Banjara Hills because we are India's first center to fully satisfy all NMC safety guidelines. We exclusively utilize Board-Certified M.Ch Plastic Surgeons, such as APSI executive member Dr. Prem Sunder Thumu, who has a decade plus of experience in complex microsurgery. We operate within Class-100 Modular OTs with dedicated ICU backup, seamlessly blending surgical release with advanced CO2 laser rehabilitation.
When a deep burn heals, the resulting scar tissue frequently shrinks and tightens aggressively, forming a 'contracture' that locks joints (like the neck, elbow, or fingers) into a frozen, crippled position. A release surgery involves the M.Ch surgeon physically cutting and opening this tight fascial band to restore full mechanical mobility, subsequently covering the new open gap with healthy skin (a graft or flap).
Elective reconstructive surgery is typically performed once the primary burn scars have fully biologically matured, which usually takes 6 to 12 months post-injury. However, urgent surgical intervention is mandated much earlier if aggressive contractures are actively restricting vital joint movement, impairing vision (eyelid ectropion), or preventing normal eating.
While standard split-thickness skin grafts (STSG) can sometimes appear slightly 'patchy' or differ in texture, our M.Ch Plastic Surgeons prioritize advanced techniques like Tissue Expansion or Full-Thickness local flaps. These methods utilize your own adjacent, healthy skin, providing a vastly superior, near-perfect match in both color and dermal thickness.
Tissue Expansion is an incredibly advanced reconstructive technique. The surgeon implants a medical-grade silicone balloon (expander) entirely beneath healthy skin adjacent to the burn scar. Over several weeks, the balloon is gradually inflated with sterile saline, forcing the body to biologically grow new, extra skin. In a secondary surgery, the burn scar is excised, and this newly generated, perfectly matched healthy skin is stretched over the defect.
Yes, absolutely. Because post-burn reconstruction (specifically contracture release) is performed to restore physiological function, alleviate severe chronic pain, or prevent further disability, it is overwhelmingly classified as a 'Medically Necessary' procedure. It is typically comprehensively covered by major health insurance policies. Our dedicated billing team will actively assist you with pre-authorization and clinical documentation.
For old, matured burn scars that are primarily a cosmetic concern rather than a functional restriction, we offer advanced non-surgical rehabilitation. This includes Candela CO2 laser burn scars protocols to significantly soften rigid scar tissue and flawlessly blend texture, along with targeted Intralesional Corticosteroid Injections to reduce scar thickness and burn marks removal.
The surgical procedure itself is completely painless, as it is performed safely under general anesthesia administered by our MD Anesthetists. Post-operative pain at the recipient site is exceptionally well-managed with hospital protocols. However, patients frequently note that the 'donor site' (where the healthy skin was harvested) can feel highly sensitive, similar to a severe sunburn, for the first week.
Surgery only physically unlocks the joint; it does not guarantee it stays unlocked. Without aggressive, immediate, and consistent post-operative physiotherapy, the newly healing skin will inevitably contract and shrink again, completely ruining the surgical result. Strict compliance with our in-house physiotherapy regimen is non-negotiable for a successful functional outcome.
Yes. Facial reconstruction is the pinnacle of plastic surgical artistry. We prioritize the aesthetic units of the face, utilizing highly complex local flaps and full-thickness grafts to perfectly restore critical functional anatomy, ensuring the eyelids can close to protect the cornea, the nasal airway remains patent, and the lips regain oral competence for speech and eating.
Z-Plasty is a highly sophisticated geometric tissue-rearrangement technique. By making incisions in the shape of a 'Z', our surgeons can physically lengthen a tight, contracted linear scar band, instantly relieving the skin tension restricting a joint, while simultaneously reorienting the scar to blend seamlessly into natural skin folds.
Custom-fitted mechanical pressure garments are a critical component of burn rehabilitation. You must wear them faithfully for 23 hours a day for a minimum of 6 to 12 months. The constant, firm pressure induces localized tissue hypoxia, which physically suppresses aggressive fibroblast activity, ensuring your maturing scars remain perfectly flat, soft, and pliable.

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