Burn Treatment & Care

Burn Treatment & Care

Burn of the Epidermis

The Miami Hand Center has years of experience dealing with burn victims. We have developed special techniques that have helped burn victims in their path to recovery. Some of our specialties include skin flaps, skin grafting, non-healing wounds, and scar tissue release on upper and lower extremities.



Scar Tissue Release Via PALF

Percutaneous Aponeurotomy & Lipo-Filling



PALF is revolutionary technique that allows patients to move their torso, limbs and appendages that suffer from scar tissue. PALF short for (Percutaneous Aponeurotomy & Lipo-Filling) involves using thin needles to poke multiple holes through the scar tissue region to allow for more flexibility. The technique allows the surgeon to stretch the skin and cover open areas. This amazing technique was developed by Dr. Roger Khouri – Chief Hand Surgeon.



Case Study: Burn Scar Axillary Contracture



Burn victim had difficulty raising arm above shoulder level. Second photo shows result of PALF Release, burn victim gained 45 degree abduction. First Stage Burn Scar Softened due to procedure.




Benefits of the PALF Technique


  • Addresses Burn & Radiation Scars – Congenital Bands
  • Trunk, Breasts, Extremities, Face
  • Minimal Procedure (LA), No Complications
  • Basic Plastic Surgery Principles: Release-Graft-Splint
  • Promising Tissue Regeneration Alternative to Flaps