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Build up your skin tolerance. Wear the sheet for 4 hours daily for two days. Then increase to time advised by your therapist. Hypertrophic scars are seen in approximately 50 percent of wounds after surgery and more than 50 percent of healed deep burns. They are generally red, raised and itchy and appear within the boundaries of wounds.
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? Mepiform consists of a polyurethane and viscose non-woven laminate covered with a soft silicone gel. Middelkoop et al found the use of Mepiform was associated with a significant improvement in hypertrophic scars in a study involving 12 patients.
How do I use a silicone gel sheet?
Cheyne Child Development: while you wait leaflet - Pre-School Age (Kensington and Chelsea and Westminster children) You can use more than one dressing and join pieces together edge to edge. You can also cut the dressing to the size and form desired.
Topical silicone empirically has been shown to have a positive impact on hypertrophic and keloid scars. Mepiform ® should optimally be worn 24 hours a day. It is recommended that Mepiform is removed once a day (e.g., when showering or bathing) for inspection and washing of the skin. For prophylactic treatment, Mepiform should be used for 2–6 months depending on the condition of the scar.
Where can I get silicone gel sheets?
Silicone gel dressings have empirically been shown to have positive impact on red and raised scars (hypertrophic scars and keloids). However, the mechanism of action for silicone on scars is not yet completely understood. Mepiform is designed to flatten, soften and fade red and raised scars, thus making them less visible 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.
Saulsberry et al report on four cases where Mepiform was utilised for scar management following surgical incisions and burns. Throughout the treatment period (at least six months for each patient), the dressing maintained a low profile and remained in situ under a compression garment without edge roll or interfering with joint mobility. The scars, originally hyperpigmented, returned to a more normal pigmentation with a smoother and more flexible nature. Mepiform is a thin, discreet and flexible dressing consisting of a laminate (polyurethane and nonwoven) covered with a soft silicone gel. 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? Mepiform is designed for the management of hypertrophic and keloid scars. It can also be used as a prophylactic therapy on closed wounds for prevention of hypertrophic or keloid scarring. 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 slowlyUnder normal conditions of use a new dressing should be applied every 3 - 7 days or when the adherent properties of the dressing are no longer sufficient. It may take from 3 months to a year or more to improve and old scar depending upon the condition of the scar tissue Mepiform should optimally be worn for 24 hours a day. Remove the dressing once per day for inspection and washing of the skin. The dressing can then be reapplied. Mepiform should under normal conditions be changed every 3 - 7 days or when the adherent properties of the dressing are no longer sufficient. Remove the release film and apply Mepiform over the scar. Avoid stretching when applying over joints. Mepiform should optimally be worn for 24 hours a day. Remove the dressing once per day for inspection and washing of the skin. The dressing can then be reapplied. Mepiform does not have to be washed/cleansed.
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. Mepiform ®, a soft silicone scar dressing with Safetac ®, has been evaluated in a number of studies for the treatment of hypertrophic scars: Mepiform can be used as soon as the wound is completely closed. Do not use on open, infected wounds or over scabs.In an observational study undertaken to evaluate the effectiveness of Mepiform on post-burn and other traumatic scars of both pediatric and adult patients (n=87) in an outpatient setting, Cain et al found that Mepiform might help to enhance patient compliance, as well as improving scar quality and patient comfort.
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