CICA-CARE

Slicone Gel Sheeting

About CICA-CARE

About CICA-CARE

Cica-care

CICA-CARE is a self-adhesive gel sheet that helps improve the appearance of the majority of red, dark or raised scars. It has already been widely used by the medical profession with over a million units sold. CICA-CARE is durable, comfortable and re-usable, ideal for day and night use. It may be used on children and adults making it suitable for the whole family. CICA-CARE has been shown to be successful in improving older scars, however results are expected to be most effective in more recent scars. Within 2-4 months, scars you thought were permanent can be reduced and their appearance improved.


Why use CICA-CARE?

CICA-CARE offers many advantages for people who, maybe like yourself, have red, dark or raised scars. It not only softens, flattens and fades these types of scars but also relieves itching and discomfort. It 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 and it's medically proven safe and effective for use on children as well as adults. Which is why CICA-CARE has been widely used by the medical profession for over ten years. And now it is available for you to purchase from your local pharmacist.

  • Learn more in the CICA-CARE Life Stories tab


How CICA-CARE Works



CICA-CARE is an advanced form of silicone contained within a gel sheet that provides a comfortable, convenient treatment for red, dark or raised scars. It has been widely used in hospitals by dermatologists and surgeons. The majority of red, raised and dark scars improve when CICA-CARE is used.

Research into how CICA-CARE works suggests that it may occlude the skin to hydrate the scar area. This means moisture is locked into the skin around the scar.

The effect of this is to make the scar tissue paler in color, closer to the natural color 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. CICA-CARE can also relieve the itching and discomfort associated with red and raised scars. However, some injuries leave white scars that naturally fade away after time and CICA-CARE is not suitable for use on these.CICA-CARE is for use on intact skin and must not be used on open or infected wounds or over scabs or stitches. See pack insert on instructions for use and in-use precautions. If uncertain consult a medical professional. 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 product wear time, should it persist please consult your doctor. Do not use skin currently affected by acne.

  • Learn more in the About scars tab


How to use CICA-CARE

Take a look at the following 8 simple steps to scar reduction, and see just how easy it is to gently soften, flatten and fade red, dark or raised scars with CICA-CARE. Results may vary based on scar type, skin type, age and location.

  • Step 1: Wash your hands before use and then gently clean the scar and surrounding skin. Thoroughly dry the area before applying CICA-CARE.
  • Step 2: Peel the lid from the tray containing CICA-CARE and remove the gel sheet.
  • Step 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.
  • Step 4: Remove the printed plastic sheet to reveal the adhesive.
  • Step 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.
  • Step 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. See Scar Reduction time below and the CICA-CARE user diary for more details.
  • Step 7: Clean CICA-CARE twice daily with a mild soap. Once you've cleaned the gel strip, rinse it well.
  • Step 8: Dry the CICA-CARE strip with a non-fluffy towel before re-applying. Ensure the scar and surrounding area is washed too.


Reduction Time

Scar reduction 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 reduction sheet. The CICA-CARE user diary will help you keep a record of your treatment programme.


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


CICA-CARE About ScarsA 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 widely used to reduce by dermatologists, surgeons and medical professionals.

How scars form

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 has been shown to improve in the majority of cases.

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

Types of scars

There are many different types of scars 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.  

Cica-Care Types of Scars Hypertrophic scarsHypertrophic 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.

 

 

 

Cica-Care Types of Scars Keloid scarsKeloid 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. (see below)

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

More information can be found at the Scar Information website

Preventing scars

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 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.

Click here to go to the Scar Information Service web site.

Choosing a scar therapy

Choosing a Scar There are a number of therapies 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 effect 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.
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 Pressure Garments have been used for over 30 years to help minimise scarring and to help prevent loss of joint function after severe burns.

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

Life stories

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 reduced their scars can both just be reassuring but can also give us strength in the improvement of our own scars.

Evidence

Evidence

CicaCare Evidence 1
Before CICA-CARE
CicaCare Evidence 2
Before CICA-CARE
CicaCare Evidence 3
After CICA-CARE
CicaCare Evidence 4
After CICA-CARE


Medical Acceptance

Medical-proof

CICA-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 improves the majority of scars

CicaCare_Scars

Carney, Carson, Gowar, Stevenson, Macnee, Groves et al 1994. 42 people aged between 2 and 60 with red, dark or raised scars were studies with CICA-CARE. These scars had also improved in condition, color and texture, softenting 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 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.


Consultants Views

CicaCare Evidence Consultants 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.

FAQ

1. 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.

2. What is CICA-CARE?
CICA-CARE is a unique product for improving scars. It is an advanced form of silicone in an adhesive gel sheet, which has been widely used by medical professionals to help reduce old and new red and raised scars by flattening, fading and softening.

3. 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. Back to Top

4. Was CICA-CARE developed just for scar treatment?
No, it was originally used for pressure relief.

5. How does CICA-CARE work?
Research into how CICA-CARE works suggests it may occlude the skin to hydrate the scar area. This means moisture is locked into the skin around the scar. The effect of this may make the scar tissue paler in colour.

6. What is the daily cost of CICA-CARE?
As CICA-CARE can be cut to size, one piece (5 inches x 2 3/8 inches) will enable a 2" scar to be treated for up to 4 months for under $0.50 per day, which is less expensive than a daily newspaper in most countries.

7. 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.

8. 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.

9. 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. Easy painless to remove and 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. Back to Top

10. Do I have to wear it forever/how long do I use CICA-CARE for?
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. Click here for more information on Scars Reduction Time

11. 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. 

12. 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.

13. Is it safe to use?
CICA-CARE is non-irritating even on sensitive skin. It is safe for use on children and adults. Back to Top

14. 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

15. Will it work with old scars?
CICA-CARE has been shown to be successful in improving older red and raised scars by softening, flattening and fading the colour of the scar. However, results are expected to be most effective on more recent scars.

16. How do I know if CICA-CARE will work on my scar(s)?
The scar needs to be red and/or raised for CICA-CARE to be effective - it doesn't work on old white, flat scars.

17. Will it work on hairy skin?
Answer: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.

18. 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 infants below the age of 2 years. 
 
19. Will it prevent scarring?
Yes, CICA-CARE has been shown to help the incidence of red and raised (Hypertrophic & Keloid) scars, if used immediately after the wound has healed (intact skin).

20. 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 does not improve 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.

21. 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 help prevent scarring when used as soon as the wound has healed.
Click here for more information on preventing scars

22. How many patients have used CICA-CARE?
Many patients have benefited from the use of CICA-CARE. To date over 1,000,000 (one million) units have been sold worldwide.

23. 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, recurrence has not been reported in the majority of cases after using CICA-CARE.

24. What are the published references which discuss your product in use?

  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.
  5. Sproat J.E., Dalcin A., Weitauer N., Roberts R.S., Plast reconstr Surg(1992). Hypertrophic sternal scars: silicone gel sheet versus Kenalog injection treatment. 90, pp988-992.
  6. Ahn S.T., Monafo W.W., Mustoe T.A., Arch Surg(1991). Topical Silicone Gel for the Prevention and Treatment of Hypertrophic Scar. 126, pp499-504.
  7. Katz B.E., Cutis(1995) Silicone Gel Sheeting in Scar Therapy 56, pp65-67.