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Silicone sheets

Transparent, soft, stretchable, self-adhesive, medical-grade Silicone gel sheet for prevention and treatment of hypertrophic scars. 75 x 45 mm. Washable and reusable. Very long shelf life (at least 3 years).

Effective (proven in medical studies) for the management of both existing and new hypertrophic or keloid scars on closed wounds (or after dermaneedling) or to prevent the formation of hypertrophic or keloid scarring.

Silicone sheets before after scars

Instructions:

1. Wash hands before use.

2. Gently clean the scar and the surrounding skin with a mild soap and rinse in clean, warm water. Thoroughly dry the scar and surrounding skin with a clean cloth or tissue.

3. Take the silicone sheet from its protective cover and if required, cut off a piece that will fit over the scar, leaving a little extra to overlap the skin that surrounds the scar.

4. Remove the protective release film from the silicone sheet.

5. Apply the silicone sheet to the scar, without stretching or with only minor stretching (otherwise it may detach eventually), adhesive side down. If necessary, a light bandage or adhesive tape may be used to help keep the silicone sheet in place.

6. Wash both sides of the silicone gel sheet, the scar and the surrounding skin at least twice daily (more often in case of excessive perspiration) with mild soap and rinse in clean, warm water. Dry thoroughly. Do not use paper-based products to dry the sheet as fibers may stick to it. Do not use irritating soap since this can lead to skin sensitivity. When care is taken, in many cases the silicone sheet can be reused for 2 to 4 weeks. When the silicone sheet begins to deteriorate or cleaning is difficult, it should be replaced.

7. The silicone sheet should be applied at least 12 hours/day. The optimum is at least 20 hours/day. Ideally, the sheet is applied all the time, except during cleaning.

8. For better skin acclimatization, begin with applying the sheet for 4 hours/day for the first 2 days, 8 hours/day for the next 2 days and increase usage time by 2 hours per day until the optimum 24 hours/day therapy time is obtained.

9. Try to avoid ointments on the scar during use because they may lead to reduced pressure on the scar and it is the constant pressure and constant occlusive moisturizing that achieves the anti-keloid/hypertrophic scar effect. When using ointments, apply a thin layer, and only on the scar itself, not the surrounding skin.

10. A treatment duration between 2 and 4 months gives best results.

11. When a rash occurs, reduce daily therapy time. If the rash persist, discontinue use and consult a physician.

DO NOT USE ON OPEN WOUNDS OR WHEN ALLERGIC TO SILICONE

1. Ahn ST. Topical silicone gel for the prevention and treatment of hypertrophic scar. Arch Surg. 1991;126:499–504. [PubMed]

2. Poston J. The use of the silicone gel sheeting in the management of hypertrophic and keloids scars. J Wound Care. 2000;9:10–2. [PubMed]

3. Suetake T, Sasai S, Zhen YX, Tagami H. Effects of silicone gel sheet on the stratum corneum hydration. Br J Plast Surg. 2000;13:157–9.

4. Niessen FB. The use of silicone occlusive sheeting (Sil-K) and silicone occlusive gel (Epiderm) in the prevention of hypertrophic scar formation. Plast Reconstr Surg. 1998;102:1962–72. [PubMed]

5. Berman B, Flores F. Comparison of a silicone gel filled cushion and silicone gel sheeting for the treatment of hypertrophic or keloid scars. Dermatol Surg. 1999;25:484–90. [PubMed]

6. Carney SA, Cason CG, Gowar JP. Cica care gel sheeting in the management of hypertrophic scarring. Burns. 1994;20:163–7. [PubMed]

7. Dockery GL. Treatment of hypertrophic and keloid scars with silastic gel sheeting. J Foot Ankle Surg. 1994;33:110–9. [PubMed]

8. Cruz-Korchin NI. Effectiveness of silicone sheets in the prevention of hypertrophic breast scars. Ann Plast Surg. 1996;37:345–8. [PubMed]

9. Gibbons M, Zuker R, Brown M, Candlish S, Snider L, Zimmer P. Experience with silastic gel sheeting in pediatric scarring. J Burn Care Rehabil. 1994;15:69–73. [PubMed]

10. Borgognoni L, Martini L, Chiarugi C, Gelli R, Reali UM. Hypertrophic scars and keloids: Immunophenotypic features and silicone sheets to prevent recurrences. Ann Burns Fire Disasters. 2000;8:164–6.

11. Nikkonen MM, Pitkanen JM, Al Qattan MM. Problems associated with the use of silicone gel sheeting for hypertrophic scars in the hot climate of Saudi Arabia. Burns. 2001;27:498–500. [PubMed]



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