Step3. Peel lid from tray and remove CICA-CARE Gel Sheet with printed plastic sheet still attached. There are different brands of silicone gel sheet available. Your therapist will assess which one is most suitable for your scar and demonstrate how to use it by providing you with a small sample. We request that your GP provide an ongoing supply. You will be given a letter to give to your GP requesting this. How do I use a silicone gel sheet? Gently clean the scar and surrounding skin with a mild soap and rinse in clean warm water.Thoroughly dry the scar and surrounding skin.

A silicone gel sheet is a soft, flexible, self-adhesive dressing that is applied over scars. It contains silicone. Silicone can help to improve the colour, height and texture of a scar. Silicone can also relieve itching and discomfort caused by a scar. How does it work? Wash Cica-Carethe scar and surrounding skin, at least once a day with mild soap and rinse in clean warm water. Al-Mandeel MS, Bang RL, Ebrahim MK. Re-appraisal of Cica-Care (Silicone gel sheet) in the treatment of hypertrophic and keloid scars. Saudi Med J. 1998;19(6):741745

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Smith+Nephew 2000.A Controlled Evaluation of CICA-CARE, Applied Following Suturing, in Preventing the Development of Hypertrophic Scars and Keloids Following Excision or Biopsy of Skin Lesions. Internal Report. STR/ST212/CT9604. Smith+Nephew 2018.Simulated Wash study to determine if CICA-CARE has the ability to withstand being wetted. Internal Report. U/040/R4.

For the first two days use CICA-CARE Gel Sheet for 4 hours during the day or night. For next two days use CICA-CARE Gel Sheet for 8 hours each day or night. Continue to increase wear time by two hours per day until a minimum of 12 hours per day is reached. If possible, CICA-CARE Gel Sheet should be worn 24 hours per day. Cheyne Child Development: while you wait leaflet - Pre-School Age (Hammersmith and Fulham children) Ngaage M, And Agius M. The Psychology of Scars: A Mini-Review. Psychiatria Danubina. 2018;30(Suppl 7):633-638. Momeni M, Hafezi F, Rahbar H, Karimi H. Effects of silicone gel on burn scars. Burns. 2009;35(1):70-74. Do not use the gel sheet on open wounds. If you develop a wound in your scar, remove the gel sheet and keep it safe until the wound is healed.

Smith+Nephew 2000.An Investigation of the Use of Cica-Care in the Treatment of Hypertrophic and Keloid Scars: A Clinical, Histological and Immunohistochemical Study. Internal Report. STR/ST214/CT9606. Cheyne Child Development: while you wait leaflet - Pre-School Age (Kensington and Chelsea and Westminster children) Step4. For small scars, cut gel sheet to fit scar size, with a small overlap over the surrounding skin (A). To facilitate ease of removal, ensure that the cut piece includes the removal flap on the printed plastic sheet. For large scars, use several sheets side by side.

Do not throw the gel sheet away if you develop any irritation or redness in response to using it. Remove the sheet, wash and dry your skin. Leave the sheet off until the symptoms resolve, then try it again, building up the skin tolerance slowly It is not clear exactly how Silicone works on a scar. Some research suggests that the silicone creates a protective barrier over the scar which allows it to mature while helping to prevent production of excess scar tissue. The silicone layer also assists with hydration of the scar. Where can I get silicone gel sheets? 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(5):498-501. Smith+Nephew 2018.User verification testing of usability related Design Inputs for Cicacare Silicone gel sheet. Internal Report. U/040/R3.Li-Tsang CWP, Lau JCM, Choi Jenny, Chan CCC, Jianan L. A prospective randomized clinical trial to investigate the effect of silicone gel sheeting (Cica-Care) on posttraumatic hypertrophic scar among the Chinese population. Burns. 2006;32(6):678683.

Step2. Gently clean the scar and surrounding skin with a mild soap and rinse in clean warm water. Thoroughly dry the scar and surrounding skin. Carney SA, Cason CG, Gowar JP, et al. Cica-Care gel sheeting in the management of hypertrophic scarring. Burns. 1994;20(2):163-167. Derbyshire E. Innovations in skin camouflaging techniques: Where are we scientifically? Int J Cosmet Sci. 2019;41(6):526-533. Apply gel sheet, adhesive side to the scar, without stretching. If necessary a light bandage can be used to keep Cica-Care in place.Ensure the scar and surrounding skin are washed using the mild soap prior to re-applying the gel sheet. Rinse the area in clean warm water. Dry with a non-fluffy towel.