Inclusion Criteria:  Any individual with burns injury aged ≥ 16 years old. Any deep dermal/ full thickness burn but the size must be minimum >1% TBSA Patients who can provide informed consent. Those treated with split thickness skin grafts or conservatively managed burn wounds which had taken > 3 weeks to heal (<100% healing).  Exclusion Criteria:  Burns to genitalia, face Patients with skin conditions/diseases (pathological fibrosis e.g. scleroderma; pathological thinning e.g. epidermolysis bullosa; collagen disorders e.g. Marfan's syndrome) Contraindications to method of scar assessment e.g. known allergy to ultrasound gel Chronic steroid use; history of skin malignancy or chronic papulo-squamous disease (e.g. eczema, pemphigus); history of Steven Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) disease Patients with history of keloid formation