CICA-CARE

Self-Adhesive Silicone Gel Sheets

 

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CICA-CARE

About CICA-CARE

CICA-CARE is a self-adhesive silicone gel sheet that is medically proven to be up to 90% effective in the improvement of red, dark or raised scars. It has been used by the medical profession to treat over one million people worldwide.

CICA-CARE is durable, comfortable and re-usable, ideal for day and night use. It is also safe to use on children and adults, making it suitable for the whole family. CICA-CARE can even be used on scars up to 20 years old.

Within 2-4 months scars you thought were permanent can be treated and their appearance improved permanently.

CICA-CARE is available on prescription. Please ask your doctor or nurse about treatment.

 

Why to Use CICA-CARE

CICA-CARE is easy and comfortable to use and incurs little of the pain, inconvenience and cost of other scar treatments like laser surgery, surgery or steroid injections.There's no need for tapes or bandages either.

It's medically proven to be safe and effective for use on children as well as adults. This is why CICA-CARE has been widely used by the medical profession for over ten years. Now it is available for you to purchase from your local pharmacist.

 

How CICA-CARE Works

Research into how CICA-CARE works suggests that it occludes the skin to hydrate the scar area. This means moisture is locked into the skin around the scar, reducing the blood supply and deposit of collagen, which is what the body uses to rebuild deeply wounded skin.

The effect of this is to make the scar tissue paler in colour, closer to the natural colour of your skin.

 

When to Use CICA-CARE

CICA-CARE is designed to soften, flatten and fade red, dark or raised scars that have resulted from surgery, accidents, cuts and burns and injury to any part of the body, including the face. However, some injuries leave white scars that naturally fade away over time and CICA-CARE is not suitable for use on these. It must not be used on open or infected wounds or over scabs or stitches.

Do not use ointments or creams under the gel sheet. In some cases a rash may appear, this has been attributed to either poor hygiene or the product being applied too tightly. If a rash appears reduce treatment time; should it persist please consult your doctor. Do not use on skin currently affected by acne.

Evidence

Medical Proof

CICA-CARECICA-CARE has been used by the medical profession for over ten years, in which time it has helped improve the appearance of red, dark or raised scars for over one million people worldwide. And now it's available for you to purchase from your local pharmacist.

During the development of CICA-CARE, many research studies were undertaken - and the results were very impressive. In fact, it has been proven that CICA-CARE works in up to 90% of cases and that the results of treatment are permanent.

Here we have summarised the results of four key research programmes so you too can see evidence of how effective CICA-CARE is.

 

CICA-CARE is up to 90% Effective.CICA-CARE is up to 90% effective.

Carney, Carson, Gowar, Stevenson, Macnee, Groves et al 1994.

This trial involved 42 people aged between 2 and 60 with red, dark or raised scars. The trial studied the effect of CICA-CARE treatment at two and six months and compared the results with untreated scars.

Results showed 93% of scars had improved after 2 months with CICA-CARE. These scars had improved in condition, colour and texture, softening to enable the skin to become more flexible.  Only 12% of untreated scars improved after 2 months, with just 38% showing improvement after 6 months. 

 

CICA-CARE is Proven to be Durable.CICA-CARE is proven to be durable.

Donald, ANZBA 1995.

A total of 31 patients aged between 18 months and 65 years old took part in this trial. The patients had either hypertrophic or keloid scars which are both types of red, dark or raised scars.

Patients were divided into two groups; one using CICA-CARE and the other another type of silicone gel sheet.

The results showed CICA-CARE to be tougher in every day use. In all, 69% of patients using CICA-CARE wore the same strip for more than two weeks compared to just 40% for the other silicone gel treatment.

By being more durable, CICA-CARE lasts longer and is therefore more cost effective to use.

 

CICA-CARE is Effective on Scars up to 20 Years Old.

Quinn 1987.

This study was probably one of the most extensive of its kind, involving 125 people who had red, dark or raised scars up to 20 years old.

The results proved 81% of patients who continued with the trial showed improvements in the condition of their scars, even those with scars that were up to 20 years old.

81% of patients who continued on the trial improved their scars with CICA-CARE.

 

CICA-CARE Prevents Red, Dark and Raised ScarringCICA-CARE prevents red, dark and raised scarring

Magalone, 1994

After breast surgery, 34 patients were selected to take part in a trial intended to find out just how effective CICA-CARE was in the prevention of post-operative scarring.

Of these 34, a selection used CICA-CARE whilst others tried pressure dressings and a final group used both CICA-CARE and pressure dressings. All the dressings were applied once the surgery had healed.

After two months of treatment the results were compared. Of the patients who used CICA-CARE, 40% had white soft scars rather than the red, dark or raised scars

 

Consultant Views

Dr M Gold
leading USA Dermatologist

As one of the leading dermatologists in the United States, Dr. Michael Gold has researched scars and their optimum treatments for over 10 years. He performed the initial clinical trials on CICA-CARE, the premier topical silicone gel sheeting, in his clinic in Nashville, TN USA.

"The research that was performed at our clinic suggests that in the majority of cases we were able to flatten raised, red scars and made the colour return towards normal. In our clinic, we routinely initiate therapy with CICA-CARE for patients with raised, red scars. It is preferable over other forms of therapy because it is not painful like steroid injections, it does not have any discomfort associated with wearing pressure garments, and it does not have the risks or complications which may be associated with surgery. Patients find CICA-CARE very easy to use and helpful in their own care.

CICA-CARE is useful for raised, red scars of any age and should be considered an important treatment option for these potentially difficult scars."


Dr P Price
UK based psychologist

Individuals with visible scars are aware that others can feel uncomfortable around them and most of these messages are 'non-verbal', for example, people either stare or avoid eye-contact, or stand further away from them. To the person with scarring all these behaviours reinforce the notion that they are 'different', resulting in anxiety about social situations, leading to poor self-confidence and low self-esteem.

Many individuals with scars, whether visible or not, feel that the scar impacts on their everyday life; many seek scar therapy in order to feel that they are proactively dealing with the problem.

Scar therapies such as silicone gel sheeting allows individuals who want a non-invasive approach to regain some control over their therapy. Whilst scar tissue will never return to 'normal', and it is important that expectations are realistic, many who try this option have been very happy with the results.

 

Life Stories

Scars, especially red, dark or raised ones, can be very distressing, causing emotional anguish, even pain or discomfort. And yet, our research has shown more than 50% of the population have some kind of scarring.

Hearing how other people have coped with, and treated, their scars can both just be reassuring but can also give us strength in the treatment of our own scars.

 

Hannah's Story

Three year old Hannah Shaw was spending a day at her grandfather's house when she fell through a glass door. She was left with a scar running from the bottom of her eye down to the bottom of her nose.

As a result of the accident, Hannah was left with a dark red, slightly raised scar, and over a period of time she became very self conscious about showing her face to strangers because of the questions they asked about how the scar occurred. Her mother Gill was informed by the plastic surgeon that Hannah would be scarred for life.

Her mother Gill says: "We noticed that over a short period of time, Hannah had become very reluctant to show her face when we went out. We were told after she had been to the hospital that there was nothing that we could do to treat the scar."

Gill Shaw found out about CICA-CARE, self-adhesive gel sheet. She bought some straight away and started to use it immediately on Hannah's face.

"After a few days the scar had flattened out, and it was really easy and comfortable for her to use. Hannah wore it for four months and we are delighted with the results. The scar is now a silvery line and the change in our daughter is so noticeable - she is the happy, go lucky child she was before this all happened."

Jill’s Story

Twelve years ago, a serious car accident left police officer, Jill Thomas, 38 with a highly visible red, raised scar on her chin. Plastic surgery went some way to improving the appearance of the scar but it was still very noticeable.

Jill said: "Although I was told by doctors that I was prone to keloid scarring, I was offered very little advice or hope in terms of improving my scars appearance. I had asked my doctor about laser treatment but was persuaded against this as there was a risk that it could make my scar worse."

Then Jill heard about silicone gel sheets, a treatment for red raised scars which is now available from pharmacies. Jill bought a pack of CICA-CARE silicone gel sheeting and started using it. Jill was delighted with the results. She noticed that her scar was much flatter and the redness had faded.

Jill continued: "Before I started using CICA-CARE my scar was very red and quite raised making it difficult to conceal, even with make-up. Now, only one month into the treatment, my scar has faded and flattened to a point where I can conceal it with make-up and friends have actually commented that my scar is less visible now."

Chris’s Story

Forty five year old Chris Burt had a Thyroidectomy in 1990 leaving her with a red, raised scar on her neck which was still quite visible eight years later. So, when her doctor informed her that she would need to have the same operation again, Chris was filled with dread. Although the surgeon was careful to make the incision as neat as possible and in the same place as previously, when the wound had healed, the scar was even more red and raised than it had been after her first operation.

Commenting on her experiences, Chris said: "After the second operation, I was upset to realise that the scar was much worse than it had been immediately after the first operation. It was so raised that I could still feel it through several layers of clothing and it actually made me feel queasy when I touched it. But the main problem was that it was very uncomfortable when it rubbed on my clothing.

"Then a friend told Chris about a new treatment for red and raised scars called CICA-CARE. Chris started using the treatment in June and after seven weeks she had noticed that the scar was not as red or raised as it had been - and so did her husband and friends!

Chris added: "Having gone through the operation once before, I knew that it would take a long time before my scar would fade. Because the scar was so much worse than the first time, that troubled me a lot. Although I was sceptical about how much the product would help me before I started using it, I was amazed at how quickly it started to have an effect. The discomfort has now gone and my scar is much less noticeable already. I feel really positive about finishing the treatment and even my GP has asked that I go back to show her the end result."

Mrs Stewart’s Story

Three heart operations in as many years left Mrs Stewart with severe scarring running from her neck to her naval. Red, raised and painful, Mrs Stewart expected to see some gradual improvement in the scars' appearance following her last operation. This was not the case.

Talking about her experiences, Mrs Stewart said: "I was in considerable discomfort as a result of the scarring. Not only were they painful but also, because they were red and raised, I couldn't bring myself to wear anything that didn't have a high neck line."

"I consulted my GP and the surgeon who had performed my operations. They told me I had keloid scarring and the only possibility that was suggested by my GP was to operate on the scars to remove some of the excess tissue. However, my surgeon advised against this as there was a risk that it could make the scarring worse."

Then Mrs Stewart read in a magazine about a new treatment called CICA-CARE from Smith & Nephew which can be used to treat red, raised scars.

Mrs Stewart continued: "Since I started using CICA-CARE two months ago the redness of the scars has started to fade. They are also not as raised as they were and this seems to have helped with the discomfort I was having before. I've noticed a particular improvement at the top of my chest and it has even given me the confidence to go out and buy myself a blouse with a lower neck line than I would have dreamed of wearing before."

Gemma’s Story

GemmaFor young Gemma Vickers, the everyday rough and tumble of living with two younger brothers always had a more worrying side. From the age of three her parents noticed that even a small scratch would often develop into a nasty red, raised scar, and that the scar could end up larger than the original injury. As she got older she started to become anxious about every cut or graze, knowing that it could leave an ugly and unusual scar on her skin.

Her mother Sue said: "We found out early on that Gemma suffers from Keloid scarring. Although everyone could tell me what it was they couldn't offer any treatment and I felt that there was nowhere that I could turn to help my daughter."

"Having keloid scarring started to have quite an impact on Gemma. She became extremely anxious about being scratched by her little brother because she knew what could develop. I wanted to do the best for my daughter so tried as hard as I could to find out more about the condition and ways of improving the appearance of the scars, but no-one was able to help me."

Gemma, now 15 has a keloid scar on her elbow and shoulder from a fall off her bike and two on her knee from key-hole surgery. "When she had the surgery we told the surgeon that Gemma suffers from keloid scarring but he said it would not be a problem. She ended up with 2 keloid scars despite his reassurances."

Sue Vickers found out about a self-adhesive silicone gel sheet, from her boss who saw it featured in a magazine. "We bought some straight away and Gemma started using it on her elbow. After only eight days the scar had flattened out wonderfully, and it was really easy and comfortable for her to use.

"The fact that there is now something that Gemma can use on her scars has taken a lot of her anxiety away. She knows that at some point she will need a small operation to remove a cyst on her neck and before we were aware of this treatment this was a major worry for her. Now we feel that there is a way that can help and it makes all the difference."

Doris’s Story

Doris Mitchell in Ireland has first hand experience of the trauma scars can cause. What should have been a routine gall bladder operation in 1986 left Doris, with what she describes as a "10 inch bright red rope".

This was a keloid scar, which was red, raised, intensely itchy and continued to grow outside the original wound itself. Doris was in constant pain for almost 8 years and tried nearly every treatment available including attending a panic clinic, laser therapy, steroid injections, various creams and oils. She was so desperate for relief, that even the drastic step of surgical excision (literally cutting out the scar) was undertaken, in the hope that the new scar would look better. However, this treatment too was unsuccessful.

Doris then spotted an article about a new therapy being used in hospitals in 1994. She contacted her local pharmacist to investigate if it were possible to purchase the hospital product for self-use. She could and it was then she began to use CICA-CARE, a non-invasive silicone gel sheeting.

The scar, which was making her life a living hell, was flattened, the redness disappeared and Doris can now enjoy an active, pain free life. "I was restricted by the scar in every way. I couldn't wear tight or rough clothing, such as a belt; even sitting in the car for long periods was painful. I really have a new lease of life since using CICA-CARE and I want other people who may be suffering terribly to know that there is now hope".

Andrew’s Story

Andrew has had several knee operations to replace damaged ligaments. The first operation was a result of a rugby accident, which left Andrew with a very raised, red scar about 10 inches long. The scar was so severe that even after 18 months, it had not faded at all and was still very painful and red.

"I wasn't offered any advice from doctors about helping me get rid of my scar, just told to take plenty of vitamins", says Andrew. "The scar was stiff with scar tissue and therefore very inflexible - it was painful to move and I couldn't play sports again for a long time as a result of the scarring."

A year and a half after his operation Andrew heard about CICA-CARE - a self-adhesive gel sheet developed specifically to treat red and raised scars. Andrew started using it regularly on his scar and was delighted with the results. After a year, the 10-inch prominent scar had flattened and faded and had almost disappeared.

Unfortunately a weight-lifting accident meant Andrew had to have another knee operation in February 1999. However, because Andrew was now well aware of the benefits of CICA-CARE he used it immediately on his scar. This meant that, unlike the first scar, Andrew had no problems with resistance or with the flexibility of his knee, and as a result was back in training within 10 weeks of his operation. Andrew says:

"I'm very fortunate to have found out about CICA-CARE relatively soon after my first operation and I'm amazed that no one in the medical profession advised me about the product! Since using CICA-CARE my scars have practically disappeared and I'm having no problems at all with resistance or inflexibility. As a result, I've been able to go back into training and enjoy my sporting hobbies again."

Using CICA-CARE

How to Use CICA-CARE

Take a look at the following 8 simple steps to effective treatment, and see just how easy it is to gently soften, flatten and fade red, dark or raised scars with CICA-CARE.

  1. Wash your hands before use and then gently clean the scar and surrounding skin. Thoroughly dry the area before applying CICA-CARE.
  2. Peel the lid from the tray containing CICA-CARE and remove the gel sheet.
  3. With a pair of scissors, cut the sheet to the size of the scar - allowing a little overlap all the way round. Store the remaining gel sheet in a dry place, like the tray the gel came in.
  4. Remove the printed plastic sheet to reveal the adhesive.
  5. Apply CICA-CARE, adhesive side down, to the scarred area without stretching the strip. If your scar is in an awkward position you may wish to use a light bandage or tape to keep Cica-Care in position. Do not hold the gel sheet too tightly to the skin as this may cause irritation of the scar and surrounding area.
  6. CICA-CARE should be applied to the scar for 4 hours on the first two days of use. The application time should then be increased by 2 hours a day to enable your skin to get used to the gel strip. 
  7. Clean CICA-CARE twice daily with a mild soap. Once you've cleaned the gel strip, rinse it well.
  8. Dry the CICA-CARE strip with a non-fluffy towel before re-applying. Ensure the scar and surrounding area is washed too.

 

Treatment Times

Treatment times vary from person to person and depends on the nature of the scarring. However, on average and if used correctly you can expect best results after 2-4 months.

At first, CICA-CARE should be applied to the scar for 2 hours a day, building up by 2 hours a day to allow your skin to get used to the gel strip.

CICA-CARE can be washed and re-used. Each strip lasts between 14 and 28 days, making it a very cost-effective scar treatment.

 

Cleaning CICA-CARE

To remain fully effective, we recommend CICA-CARE is cleaned twice daily. During warm weather or during periods of increased physical activity, CICA-CARE should be cleaned more frequently to maintain maximum contact between the gel strip and the treatment area.

Cleaning CICA-CARE is straightforward. Simply wash the strip with a mild soap. Avoid using any other household cleaning products.

To dry CICA-CARE after cleaning, use a non-fluffy (lint free) cloth and, before reapplying, clean your scar area too.

For your comfort and convenience, CICA-CARE can be removed for you to wash and bathe as normal.

About Scars

A scar is part of the normal healing process of a wound to the skin. There are different types of scars that form, each dependent on the type of injury that caused it.

For many superficial injuries like minor cuts and grazes, the scar will gradually fade. However, after some kinds of surgery or more serious accidents such as deep cuts or burns, the scars that form can leave the skin red, dark or raised.

These types of scars can be emotionally distressing and can cause great discomfort by restricting movement or from itching. It is these scars that CICA-CARE has been medically proven to be effective in treating in up to 90% of cases by flattening, fading and softening.

 

How Scars Form

A scar normally consists of tissue produced in the wound during repair: a process of new cells and blood vessels forming while older ones wither and break down.

Damage to the skin causes a wound. As it is a fragile process the more severe the injury the more complicated the healing.

The wound begins to heal. If the wound is deep, the body will lay down a protein called collagen to repair the damage.

In some cases too much collagen is laid down and the wound becomes permanently red or raised. These are the scars that CICA-CARE is medically proven to treat.

For more educational information on wound healing, please visit the Global Wound Academy.

 

Types of Scar

There are many different types of scar and these fall into the following general categories:

  • Flat and pale 
    These, the most common scars, may start red or raised but naturally fade over time. CICA-CARE can help speed up this process.
  • Sunken 
    Most commonly caused by acne or chicken pox, and although sunken some acne can remain red and raised.
  • Stretched 
    Caused when the skin is stretched around a healing wound. Stretch marks caused during pregnancy are similar.
  • Red, dark or raised 
    These are known by doctors and nurses as hypertrophic or keloid scars and can be treated with CICA-CARE.

 

Hypertrophic and Keloid Scars

Red, dark or raised scars are known as either hypertrophic or keloid scars.

Hypertrophic scar Hypertrophic scars are about the size of the wound and are caused by burns, tension on the skin or skin reaction at the time of injury. Children are more prone to hypertrophic scars.
Keloid scar Keloid scars tend to keep on growing even when the wound is healed. They are more common on people with darker skin types, 10-30 year olds and people with burn injuries.

There are ways to prevent scarring including using CICA-CARE as soon as the wound as healed.

 

What Isn't a Scar

A scar is the natural result of a healed wound to the skin. Red, dark or raised scars can be effectively treated with CICA-CARE. However, it is important to remember that a wound does not become a scar until it has completely healed.

Also, skin conditions such as Eczema and Psoriasis and injuries like minor burns or sunburn are not called scars because the skin is broken or undergoing a different process of repair. 

CICA-CARE must not be applied to wounds that are still healing and it is not effective on skin ailments or blemishes that are not scars. If uncertain ask your doctor.

 

Preventing Scars

There are areas of our body more vulnerable to red, dark or raised scars like the upper back, shoulders, under the breast, chest, upper arms, face, neck and abdomen. Skin colour can also make people more prone to severe scarring.

To prevent scarring, always cover and protect wounds, preferably with a moist wound healing dressing from your pharmacist. Taking extra anti-oxidant vitamins like Vitamin C can also help. CICA-CARE is also proven to effectively treat scars that are the result of wounds that have already healed.

Many more details on scar prevention and treatment along with links to further help can be found at the Scar Information Service web site.

 

Choosing a Scar Treatment

There are a number of treatments for scars used by doctors, mostly dermatologists and burn specialists. Some of these like surgical methods require hospital treatment. Whilst others, like medically proven CICA-CARE, can be used at home to improve the appearance of red, dark and raised scars.

Treatments that require hospitalisation can be painful and traumatic which is why more people are choosing treatments that can be used at home.

Surgery

Surgical removal of a scar in the hospital or clinic, causes stress by hospitalisation along with the pain and discomfort of an operation. Scars, especially Keloid, are prone to return.

CICA-CARE

 

A painless, comfortable, simple silicone gel sheeting, medically proven to permanently improve the appearance of red, dark or raised scars in up to 90% of cases. Can be applied by yourself.

Steroid injections

Injections under the surface of the scar. Must be undertaken regularly and are very painful. Injections can also affect wound repair.

Radiation Therapy

Uses low-dose superficial radiation to reduce the scar. These can have long term side effects including thyroid cancer.

Cryotherapy

Involves freezing the scar tissue with liquid nitrogen, with only about a 30% success rate.

Vitamin E creams

Vitamin creams can be recommended to moisturise a scar area. However, no research has shown any cream can cure scars. In fact, a recent study shows that in 90% of cases, Vitamin E cream either has little or no effect on the cosmetic appearance of surgical scars over a 12 week trial period.
(Baumann and Spencer 1999).

Laser Surgery

Can be used to reduce the redness of scars. Is still experimental and has little effect in reducing the height of the scar.

Cosmetic Camouflage

Cosmetic camouflage is not a treatment but can be used to disguise a scar, birth mark, 'port wine' mark or vitiligo, a condition which destroys the colour in darker skin causing white patches.

Pressure garments

Mostly used for new scars after large burn injuries. These uncomfortable garments must be worn for many weeks or months.

Help and advice on scar therapies can be found at the Scar Information Service web site.

FAQs

Frequently Asked Questions about CICA-CARE

 

What is a scar?

A scar is part of the normal healing process. The type of scar that forms can depend on a variety of factors including the nature of the injury, which part of the body, the size and the depth of the wound. Scars consist of a non-living protein called collagen which is the most common tissue in the body.

Some injuries will leave a flat white scar that will virtually fade away in time. CICA-CARE is not effective on this type of scar. CICA-CARE is appropriate for red and raised scars resulting from injury to any part of the body, including the face, from surgery or accidents, and may be cuts or burns. But, other scars known as hypertrophic and keloids can cause great discomfort both by restricting movement and by emotional distress.

A keloid scar is a red and raised area which can be uncomfortable and restricting. This type of scarring is a result of the build up of collagen in the area, making the scar larger than the actual size of the wound.

Hypertrophic scarring is also red and raised, but without the excess collagen build-up leaving the scar confined to the original wound area.

What is CICA-CARE?

CICA-CARE is a unique product for treating scars. It is an advanced form of silicone in an adhesive gel sheet, which is medically proven to be effective in up to 90% of the cases by flattening, fading and softening red and raised scars, old and new.

How did the product come about?

In 1982, in Australia, a children's hospital was looking for a material which could be used under pressure garments to ensure that pressure was being evenly distributed. It was noticed that where the silicone gel was the scar improved more rapidly. Following this discovery in Australia, the clinical trials began in the UK, which found it was effective when used alone.

Was CICA-CARE developed just for scar treatment?

No, it was originally used for pressure relief.

How does CICA-CARE work?

CICA-CARE works through a combination of effects. The gel sheet covers the red, raised scar and produces a moisturizing effect which helps to flatten the scar, improve the texture and help to take away the colour.

What is the daily cost of CICA-CARE?

As CICA-CARE can be cut to size, one piece (12 x 6 cm) will enable a 5cm scar to be treated for up to 4 months. The new price negotiated by the NHS for CICA-CARE now allows for a 5cm scar to be treated for as little as 10p per day.

How is CICA-CARE used and how long will it take for the scar to get better?

It can vary from person to person and from scar to scar. Some people may see an improvement in a matter of days. When used correctly, best results are seen after 2-4 months treatment time. For the first two days of treatment CICA-CARE should be used for 4 hours per day. For the next two days, CICA-CARE can be increased to 8 hours per day. After this, wear time should be increased by 2 hours per day until a minimum of 12 hours per day is reached. If possible, CICA-CARE should be worn 24 hours per day. This build up is necessary to get the skin accustomed to the gel sheet.

Each separate cut piece used should be cleansed twice daily and will last up to one month in use. Painless to remove and easy to replace, the adhesive sheet stays in place, although a light bandage or tape may give extra help to hold it in place. The CICA-CARE adhesive gel sheet is soft, comfortable and easy to apply. It can be cut to size to fit most scars, it is durable and reusable and is ideal for either day or night use.

Do I have to wear it forever / how long is the treatment period?

No, it is intended as a temporary treatment but can be worn until you stop seeing further improvement in your scar. The total treatment time is likely to be from 2-4 months.

How soon can CICA-CARE be used after an injury?

CICA-CARE may be used on any old or new closed wounds, including red or raised scars resulting from surgical incisions such as cesarean sections, cosmetic surgery or accidental injury such as burns and cuts. Always ensure that the wound is fully closed before using CICA-CARE. Do not use on open wounds, infected wounds, scabs, or over stitches.

How do I know if CICA-CARE will work on my scar?

The scar needs to be red and/or raised for CICA-CARE to be effective - it doesn't work on old white, flat scars.

If my scar is longer than the piece of CICA-CARE, can I join pieces together?

Yes, the scar may require more than one piece cut from the sheet to cover the scar. These should be placed edge to edge rather than overlapping each other.

How do I care for CICA-CARE?

CICA-CARE gel sheet must be cleaned twice daily. This may need to be increased in warm weather or during periods of physical activity.

Mild soap can be used, but do not clean with household cleaning products. For your own comfort and convenience, CICA-CARE can be removed for you to wash and bathe as normal.

Why do I have to wash CICA-CARE?

As part of normal hygiene it is wise to keep the CICA-CARE clean. Also the stickiness of the product is restored after cleansing. This will remove normal oils/secretions of skin.

Is it safe to use?

Yes. CICA-CARE is a medically proven, silicone gel sheet. It is safe for use on children and adults.

What if I have a skin condition, e.g. eczema, psoriasis, or acne?

Where there is broken skin, CICA-CARE should not be used.

To date there has been no research to determine if CICA-CARE will work on other skin problems.

Will it work with old scars?

Yes. Scientific research and clinical data has shown that CICA-CARE actively improves the appearance of scars up to 20 years old. Results showed that up to 90% of red and raised scars improved in appearance by softening, flattening and fading the colour of the scar. However, results are expected to be most effective on more recent scars.

Will it work on hairy skin?

In order for CICA-CARE to work, it must be in good contact with the scar. If there is too much hair, then shaving may be an option.

Will it work on elderly people and/or babies?

It is safe for use on children and adults.

The product has been tested on subjects from 2-60+ years of age. We have no data on its use on babies below the age of 2 years.

Will it prevent scarring?

Yes, CICA-CARE has been shown to reduce the incidence of red and raised (Hypertrophic & Keloid) scars, if used immediately after wound closure.

What are the types of scars/how many types are there?

There are a several types of scars. Normal scars are usually flat and light coloured. CICA-CARE is not effective on this type of scar. CICA-CARE is appropriate for red and raised scars. Hypertrophic scars are red and raised and remain within the boundaries of the original injury. Keloids are also red and raised, but usually grow outside the original boundaries of the injury. Keloids can also be quite itchy.

More information can be found at the Scar Information website.

Why do some skin types scar more than others?

It is not totally clear why some skin types scar more easily or readily than others. Nevertheless, it is believed that darker skinned people are usually at a higher risk.

CICA-CARE can be used to prevent scarring when used as soon as the wound has healed.

Once CICA-CARE reduces my scar/makes it better, will the scar come back?

Bear in mind that even though there will always be some evidence of the scar, nobody has reported any recurrence of a scar after treatment with CICA-CARE.

What is the clinical evidence which you use to justify your claims?

References:

1. Carney S.A., C.G Cason, J.P Gowar, J.H Stevenson, J.McNee, A.R. Groves, S.S. Thomas, N.B. Hart and P. Auclair, (1994). CICA-CARE gel sheet in the management of hypertrophic scarring. 20, (2), pp163-167.

2. Dockery G.L. & Nilson R.Z., The Journal of Foot and Ankle Surgery(1994) Treatment of Hypertrophic and Keloid Scars with SILASTIC Gel Sheeting. 33,(2),pp110-119.

3. Gold M.H.,J Am Acad Dermatol(1994). A controlled clinical trial of tropical silicone gel sheeting in the treatment of hypertrophic scars and keloid. 30, pp506-507

4. Donald L., Australian/New Zealand Burns Association(ANZBA) (1995). Comparison of 2 types of Silicone Gel Sheets. 14, pp10-11.

CICA_CARE Silicone Gel Sheet