Burns reconstruction — a written plan, an honest timeline, and the patience the body needs.
Five hundred and forty multi-stage burns reconstructions completed since 2018. Patients arrive months or years after the original injury — most leave their first consultation with a clear, costed map of what comes next.
- Burns reconstructions
- 540
- Stages in the programme
- 5
- Typical span of care
- 12 — 36months
- On-site psychology
- Free
since 2018
assessment to refinement
for every patient + family member
Six clinical scenarios we see most often.
Each scenario is its own conversation. Below is the shape of what we treat — your case is reviewed personally on its own terms.
Post-burn contractures
Tight scar bands across joints — neck, axilla, elbow, hand, knee — that restrict movement years after healing.
- Axillary contractures limiting shoulder elevation
- Cervical contractures restricting neck extension
- Hand contractures with web-space loss
Hypertrophic and keloid scarring
Raised, red, itching scars that continue to grow beyond the original burn footprint.
- Chest and shoulder hypertrophic plates
- Earlobe and jawline keloids
- Scar contracture at flexion creases
Facial burn reconstruction
Restoration of the eyelid, lip, ear, and nasal aesthetic units with attention to function and appearance.
- Eyelid ectropion release and full-thickness skin graft
- Lip commissure reconstruction
- Total ear reconstruction with rib cartilage framework
Hand & upper-limb reconstruction
Functional restoration of the burned hand — release of contractures, tendon and joint reconstruction, sensate flaps.
- First web-space release with dorsal flap
- Boutonnière deformity correction
- Sensate finger reconstruction
Pediatric burns reconstruction
Staged reconstruction tracking the child's growth, coordinated with school, family, and psychological support.
- Recurrent contracture release through growth spurts
- Tissue expansion for hair-bearing scalp restoration
- Long-term scar maturation programme
Chemical & electrical burns
Reconstruction of often deep, full-thickness injuries with deep-tissue and vascular involvement.
- Acid attack facial reconstruction
- Electrical injury limb reconstruction
- Chemical injury of the hand and forearm
From the first photograph to the last refinement.
Most patients move through stages one to three over a year. Stages four and five span a further year or two — never rushed.
- 1
Month 0 — 1
Comprehensive assessment & plan
Photographic mapping of every scar field, range-of-motion testing, scar maturity assessment, and a multi-stage written plan with costs, timing, and expected outcomes for each stage.
Outcome — Clear, costed roadmap shared with the patient and their referring team.
- 2
Month 1 — 3
Functional release surgeries
Priority is restoration of movement: contracture release across joints, tendon mobilisation, web-space reconstruction, and immediate coverage with skin grafts or local flaps.
Outcome — Range of motion restored across the most disabling joints first.
- 3
Month 3 — 9
Tissue expansion & flap reconstruction
Where larger areas of skin must be replaced — face, scalp, neck — we place tissue expanders or plan free-flap reconstruction with microsurgical anastomosis.
Outcome — Like-for-like skin and contour restoration in cosmetically critical areas.
- 4
Month 9 — 18
Scar maturation & laser refinement
Fractional CO₂ and Nd:YAG laser sessions to soften, flatten, and lighten residual scars, combined with intralesional steroid where indicated.
Outcome — Marked improvement in scar texture, colour, and pliability.
- 5
Month 18 — 36
Aesthetic refinement
Hair restoration, eyebrow micropigmentation, lip and eyelid contouring, fat grafting, and final touch-ups to restore the patient's pre-injury identity as closely as possible.
Outcome — A reconstructed, dignified appearance — and a return to social life.
What a typical year looks like.
Three composite case profiles. Each is anonymised and stripped of identifying details, drawn from typical patterns of care.
Adult — axillary contracture
- Month 0: Photographic & functional assessment
- Month 1: Stage 1 release + skin graft
- Month 4: Hand therapy intensive
- Month 6: Stage 2 release / scar revision
- Month 9 — 12: Laser refinement programme
Pediatric — neck contracture
- Month 0: Family consultation & growth plan
- Month 2: Tissue expander placement
- Month 6: Expansion completed, contracture release
- Month 12: Scar maturation review
- Month 24: Repeat review through growth spurts
Adult — facial burns aesthetic unit
- Month 0: Aesthetic-unit mapping & plan
- Month 3: Eyelid ectropion release + FT skin graft
- Month 6: Lip commissure reconstruction
- Month 12: Laser resurfacing, fat grafting
- Month 18: Final refinement + micropigmentation
Letters of thanks, paraphrased with permission.
Eight years after a kitchen accident I had lost the use of my right shoulder. Dr. Mahram released the contracture in two stages, coordinated everything from Riyadh, and I am back to lifting my children.
Ahmed B. · Riyadh, Saudi Arabia · Burns reconstruction — axillary contracture
My daughter had a hand contracture from a household burn. Dr. Mahram planned three stages over two years. After the second stage she can now hold a pen and dress herself. We are very grateful.
Yasmine F. · Tripoli, Libya · Pediatric burns reconstruction
Six years of being unable to lift my chin. After two surgeries here I can drive comfortably and look people in the eye again. Dr. Mahram and his team treated me like family.
Walid N. · Benghazi, Libya · Burns reconstruction — neck contracture
A reconstruction is not only a series of operations.
Every burns patient is offered the resources below at no extra cost, alongside the surgical plan.
Egyptian Burn Survivors Network
Peer-support community founded by Cairo burn survivors. Monthly meetups in Cairo and Alexandria.
Learn moreOn-site psychological counselling
Free clinical psychology sessions are offered to every burn-reconstruction patient and one family member.
Learn morePhysiotherapy & occupational therapy
We coordinate scheduled physio with Cairo Medical Center's rehab unit between every surgical stage.
Learn moreFamily education library
Printed and digital guides in Arabic and English covering scar massage, splinting, and home care.
Learn morePractical questions, answered.
Send us photographs and a short history.
A coordinator will reply within twelve working hours, in Arabic or English. For international patients, the consultation can begin by video.