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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?
The length of treatment time will differ from person to person and depends on the condition and the age of the scar. First results may be seen already after 2 months, however the improvement of the scar may continue for up to a year under treatment. Topical silicone has widely been shown to have a positive impact on hypertrophic scars and keloids. Mepiform dressings should be worn for a minimum of 12 hours daily, and if possible 24 hours per day, with twice daily washing. The dressing can be reapplied. It may take from 3 months up to a year or more to improve an old scar, depending on the condition of the scar tissue. For prophylactic treatment, Mepiform treatment should begin soon after surgical closure, when the incision has fully epithelialised, and be continued for at least 1 month. In 2006, Meuleneire demonstrated how the early use of Mepiform prevented scarring of a severe forehead laceration in one patient . Mepiform is a thin, discreet and flexible dressing covered with a soft silicone Safetac layer, designed to aid the body's healing of wounds and scars, old and new. The Cheyne Child Development Service - School age Autism (ASD) Assessment Pathway Parent InformationMepiform can be used on newly healed closed wounds to prevent the formation of red and raised scars. Middelkoop et al found the use of Mepiform was associated with a significant improvement in hypertrophic scars in a study involving 12 patients.
Should maceration or rash occur, remove the dressing and allow the skin to recover until the symptom has disappeared, then continue treatment gradually increasing therapy time. If the symptom persists, discontinue use and consult a physician for advice. In Majan’s randomised controlled trial of 11 patients with postoperative hypertrophic scars, participants were randomly allocated to treatment with Mepiform or ‘left alone’. Patients treated with Mepiform showed greater and more rapid improvements than those in the non-treatment group, as measured by the Vancouver Scar Scale. Commenting on their results, the author conclude that, as Mepiform is self-adhesive and its use limits damage to the stratum corneum on removal, it gives it an added value compared with non-adhesive silicone gel dressings.Mepiform ®, a soft silicone scar dressing with Safetac ®, has been evaluated in a number of studies for the treatment of hypertrophic scars: Scars are disfiguring and can interfere with the normal functioning of the skin and other organs affected. They are more likely to form where the primary cause of the scar persists, where there is continued inflammation and when the scar takes a long time to heal . Continued fibrosis in the skin leads to scarring and, potentially, disfigurement as a result of progressive deposition of matrix.
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