Almost 250 people were evacuated from a block of flats on the New Kent Road in the early hours of Tuesday morning as fire destroyed a maisonette on the eighth and ninth floors.
Around 30 firefighters and six fire engines were called to a fire at the 18-storey Albert Barnes House just after 1.30am.
A six-room maisonette on the building's eighth and ninth floor was completely gutted by the blaze and part of a maisonette on the floor above was damaged by the heat and smoke.
Firefighters wearing breathing apparatus managed to stop the fire from spreading and rescued a woman and a dog from a balcony on the tenth floor.
Around 240 residents were evacuated and six people were taken to hospital suffering from smoke inhalation.
All but three households were able to return to their homes once the fire was extinguished.
"Housing officers from Southwark Council attended the scene of the fire and temporary accommodation is being arranged for those tenants unable to return to their flats today," says Cllr Kim Humphreys, executive member for housing management.
The 1964-built council tower block has 99 flats.
London Fire Brigade says that the fire was under control by 3.22am.
Firefighters from Southwark, Dockhead, Lambeth and Old Kent Road attended the incident. The cause of the blaze is under investigation.
For the latest local news and events direct to your inbox every Monday, you need our weekly email newsletter SE1 Direct.