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Derbyshire E. Innovations in skin camouflaging techniques: Where are we scientifically? Int J Cosmet Sci. 2019;41(6):526-533. Donald L. Comparison of 2 Types of Silicone Gel Sheets. Australian/New Zealand Burns Association(ANZBA). 1995;14:10-11. 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. Apply gel sheet, adhesive side to the scar, without stretching. If necessary a light bandage can be used to keep Cica-Care in place. 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
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.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. Momeni M, Hafezi F, Rahbar H, Karimi H. Effects of silicone gel on burn scars. Burns. 2009;35(1):70-74.
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. Smith+Nephew 2018.User verification testing of usability related Design Inputs for Cicacare Silicone gel sheet. Internal Report. U/040/R3.Smith+Nephew 2018.Simulated Wash study to determine if CICA-CARE has the ability to withstand being wetted. Internal Report. U/040/R4. Build up your skin tolerance. Wear the sheet for 4 hours daily for two days. Then increase to time advised by your therapist. 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.