Purpose Biodegradable temporising matrix (BTM) has been widely described in the use of burn reconstruction. We present a unique case of a burn injury in a patient with Fitzpatrick VI skin, involving 3% total body surface area (TBSA) burns to the breast and torso. Method The torso was directly grafted, while BTM was applied to the breast to reduce the risk of secondary graft contracture and preserve breast contour. After 9 weeks, the BTM was delaminated and the breast area was successfully grafted. The torso served as a control for comparison. Results The use of BTM allowed for tissue expansion and minimised deformity, particularly important in patients with darker skin who are at higher risk for graft contracture and pigmentation irregularities. Postoperatively, the patient achieved 100% graft take on both the breast and torso, with favorable outcomes. The Vancouver Scar Scale (VSS) and Patient and Observer Scar Assessment Scale (POSAS) was used to assess scar quality, showing minimal hypertrophy and acceptable pigmentation in both areas. Conclusion This case highlights the effectiveness of BTM in improving aesthetic and functional outcomes in burn reconstruction, particularly in high-mobility areas like the breast. It is unique in the provision of a “control” and also describes the added challenges associated with grafting Fitzpatrick VI skin type. The results indicate that BTM shows promise in reducing contracture and preserving natural contour in burn injuries to the breast.