The major disadvantage in this approach is that the patient's scarring process is still hyperactive, and recurrent contractures are frequent. Still, I believe early reconstruction assists the process of recovery. Late reconstruction, then, in my definition, is surgery occurring more than six months post-burn, or when the scars are believed to be mature. Late reconstruction may lead to less surgeries and better lasting reconstructive efforts. With time, some difficulties may have already been acceptably rehabilitated, making surgical correction unnecessary.
Sequential reconstruction is a staged reconstruction process.
The hallmark of sequential reconstruction is extensive pre-surgical planning between the patient and the surgeon. I believe that the majority of reconstructive needs can be addressed by this means. The critical elements are a workable, adaptable plan, and good communication between patient and surgeon. Both patient and physician bring individual knowledge crucial to the reconstructive process. The surgeon brings a knowledge of anatomy and wound healing, but most importantly a history of successful techniques.