A 38-year-old woman with an eating disorder and depression became light-headed and fell, spilling boiling water from a kettle on herself at home. She was treated for 3 days at a local medical clinic and was then referred to the Plastic and Aesthetic Surgery Department, Kitasato University Hospital, 4 days postburn. The patient sustained partial and full thickness burns over 5% of her total body surface area: the left buttock (Figure 1(a)) and the right posterior thigh and calf (Figure 1(b)). The patient was 158 cm tall with a body weight of 33 kg; thus, her BMI (body mass index) was 14. Examination of other body systems revealed that they were normal. Laboratory data results were within normal limits except hemoglobin 9.9 g/dL, total protein 6.2 g/dL, and albumin 3.0 g/dL in her blood serum. Surgical treatment and alimentation with hospitalization was planned, but consent could not be obtained. We, therefore, chose to treat her at our outpatient clinic. Consent for hospitalization was obtained 24 days postburn, and the patient was admitted. But the patient strongly desired to leave the hospital as soon as possible, so she was discharged on postburn-day 39. Burn wound infection occurred on around day 20, but the infection was controlled with silver sulfadiazine and povidone-iodine gel. On day 53, she experienced dyspnea and lower-limb edema and returned to the hospital, whereupon, pleural effusion was observed on the chest X-ray (Figure 2). Laboratory data results were: hemoglobin 7.9 g/dL, total protein 4.8 g/dL, and albumin 2.7 g/dL. The pleural effusion was treated with a colloid solution and a diuretic agent with hospitalization (Figure 3). The operation for the burn wound was performed using a sequential excision and split-thickness skin graft from the right buttock on postburn-day 76 and lasted 2 hours. The burn covered 5% of the patient's body surface area. But because of the skin graft on the left buttock and posterior right thigh, the patient required bed rest and splinting her right leg for 7 days; afterwards, the skin graft stabilized. 
The burn wounds were successfully covered with skin grafts and treated with petroleum jelly. Rehabilitation was given for 1 week thereafter, and the patient was discharged on postburn-day 95. By postoperative-month 8, the patient was satisfied with the burn wound scars, skin grafts, and donor sites (Figure 4).