Epi-derm silicone gel sheets by BiodermisBiodermis, Epi-derm silicone scar sheets are made of medical-grade silicones. These doctor-approved scar treatment products are used by hospitals, cosmetic surgeons, burn care practitioners, dermatologists, and other health care professionals.

They are FDA and C.E. (Europe) approved, breathable and permeable which is important because sheets that don’t allow oxygen to pass through may cause maceration. Silicone sheets are clinically proven to be a safe and effective scar treatment option. Epi-Derm sheets are also used for burn scar treatment.

How to use Biodermis Epi-Derm sheets? For optimal results they must be applied for a minimum of 12 hours per day for a period of 8-12 weeks.

Does using Biodermis Epiderm sheets bring side effects? All silicone sheets may cause skin rash although this happens rarely. This is very normal since any topical skin agent may potentially cause contact dermatitis (rash). If this occurs discontinue using Epi-Derm. The only exception is if you develop excessive moisture beneath the sheets which may lead to skin maceration which on its turn could predispose you to a fungal infection.

Are Biodermis silicone sheets any good? Some silicone brands are better than others. Some people gain better results with a certain brand than others. This may depend on skin type, humid or dry climates, and many other circumstances. Biodermis is a quality brand. What also makes it stand out is that Biodermis offers a variety of pre-cut, special shaped sheets. This way there is no need to cut them into the appropriate size yourself.

Studies mentioning Biodermis Epi-derm silicone sheets.
Study comparing the results of Epi-derm with Contractubex. Conclusion:
“Silicone products, either in gel or sheet, are superior to Contractubex® in the treatment of the hypertrophic scar.” Source: burnsjournal.com

Where to buy Biodermis Epi-derm sheets? They can be ordered online at MakeMeHeal and Amazon.

Action of Biodermis Epi-derm silicone sheeting

Action of Biodermis Epi-derm silicone sheeting

Here’s some info on the various sizes and shapes Biodermis sheets are available in:

Sizes and Shapes of the Biodermis Epi-derm products

Small silicone Patch (size: 5 x 6 cm / 2 x 2.5 in) The patches are only a few inches (max) and are ideal for preventing and treating small hypertrophic and keloid scars. Epitabs are small round and square shaped patches and are the smallest within the Biodermis range.

Standard Silicone gel sheet (size: 12 x 14.5 cm / 4.7 x 5.7 in) Best for mid-sized hypertrophic and keloid scars. Here’s a YouTube video on standard Biodermis Epi-Derm silicone sheets

Large Silicone gel sheet (size: 28 x 40 cm / 11 x 15.75 in) A full-sized sheet, ideal for the reduction of post-burn scarring. Can be wrapped around a limb or cover large scar areas on the torso.

Silicone Gel Strip (size 3.5 x 29 cm / 1.4 x 11.5 in) Strips are recommended for surgical scars such as C-section, tummy tuck, and heart surgery scars. Take a close look at the Biodermis Epi-derm strip in this video.

C strips are specially made for C-section and hysterectomy scars. (size: 3.6 x 15 cm/ 1.4 x 6 in)

Mastopexy shaped gel sheet. (size 32.0 x 9.6 cm / 12.6 x 3.8 in) The Mastopexy form is ideal for breast reduction (mammoplasty) and breast reconstruction surgery, and can be cut to size. Pairs of mastopexy forms and pairs of areola circles are sold separately.

Areopexy shaped sheets. Recommended for the “Lollipop” shaped scar as a result of the Lejour surgical technique used in areola reconstruction, breast reconstruction and breast reduction surgery. Sold in pairs. Can be cut to size.

Areola Circles (size: 7.6 x 1.9 cm / 3 x .75 in) Ideally dimensioned for small hypertrophic and keloid scars resulting from areola reconstruction and breast augmentation surgery. Watch this vid for an indication on how to apply special shaped breast surgery circle shaped silicones. Short video on breast surgery silicone patches

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Do your scars itch? This post is about why scars itch and how to get some scar itch relief.

Fresh scars tend to itch more often but also older scars, especially surgery scars, may itch. Even scars that are years old can be itchy. Many people describe the feeling as itchy and numb at the same time. In most fresh scars the itchiness will fade away with time.

Scar Itch Causes

The itch is part of the healing (maturation) process. New tissue is created, nerve endings are stimulated, and other nerves have been disconnected which may cause the numb sensation.

The blood circulation is affected and overlapping scar tissue being stretched may also cause itchiness or sometimes a burning feeling. (e.g. in case of c-section scars during a new pregnancy) Some people experience a burning sensation followed by itch after stretching their scar full out.

Causes of scars itching are the aforementioned healing process, the scar drying out, the nerves being damaged and disconnected, collagen reacting and moving, and skin irritation as a result of (surgical) tape or other topical applications used.

Scar Itch Relief

Make sure to avoid scratching your scar whenever possible. It might damage the tissue especially when the scar is young and the tissue still thin and delicate. Damage caused by scratching will worsen scar appearance and may cause infection (which will also worsen appearance).

This is just theorizing but I think whether or not you can treat the itchiness depends on where the itch is exactly located. Is it superficial, on the scar itself, the skin so to say? Or is the itch deeper, probably caused by nerves and/or collagen turning over. If it’s the latter I guess there’s nothing much you can do about it except for maybe massaging.

  • Massage A good massage therapist will be able to loosen up the scar tissue thus effectuating less tension and friction. This way the scar tissue is under less physical stress which will lead to less burn or itch. When massaging your own scars keep in mind that fresh scar tissue is relatively thin and fragile so massaging should be done very gently.
  • Moisturizing Scars tend to dry out a bit because the skin’s ability to hydrate itself has been affected. That’s why moisturizing the tissue regularly may offer relief by diminishing itch.
  • Anti-itch creams I haven’t used any anti-itch creams on my scars myself because I used silicone gel sheets and ointments (more on this in a bit) but here are a few popular creams that are reported to offer scar itch relief. Benadryl is a so called antihistamine cream. Prolonged use of such creams is said to possibly result in the development of an allergy to the active ingredient (Benadryl) Other itch relief creams are topical anesthetics such as lidocaine and benzocaine. These have shown to cause skin irritation in some cases. Therefore the best anti-itch creams are the topical steroids such as hydrocortisone cream. Examples of commonly used and well reviewed hydrocortisone creams are Aveeno 1% Hydrocortisone Anti-Itch Cream and Member’s Mark Hydrocortisone Cream Apart from these there’s a skin spray called ThermaSkin Itch Blocker that uses hot pepper extract (capsaicin) to stop itching.
  • Silicones There are several topical silicone gel brands such as Dermatix, Kelocote, Zeraderm, and ScarAway. These silicone ointments do not only offer relief from itch and pain they will also reduce redness, prevent problematic scars from developing, and flatten and soften excessive scar tissue.

    For me these silicone creams (and sheets) were a godsend because apart from the occasional itch some of my scars really felt uncomfortably sensitive so each contact with clothing or e.g. a seat belt made me shiver.

  • Do you have any questions or comments on scar itch relief? Don’t hesitate to share your opinion below.

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The c section scar is the result of the vertical incision made during the surgical procedure and is approximately 4-6 inches long. How wide it is depends on how well it is treated, how healthy someone lives, genetics, and how well the wound heals. The scar is located on the lowest part of the tummy, just above the pubic bone. Because of its location it is mostly covered by underwear or clothes. Here are some c-section scar photos.



I stumbled upon this question on Yahoo Answers about c-section scar treatment and the answers given point out how many misconceptions about scar healing (in general) exist.

The question:

“I had a C-section 6 weeks ago and the scar is red and puffed up. Does anyone recommend a scar treatment for it? and when should I start applying the scar treatment?”



In the answers many of the common, so called effective, scar treatments are mentioned but a really truthful and helpful answer isn’t there. Yes, of course scar tissue improves over time as mentioned by one of the answerers. But no, Mederma is not a proven effective remedy actually. Studies show it works just as good, or even slightly less effective, as Vaseline.

Why so many people swear such products work for them possibly has to do with the massaging of the scar, improved blood circulation, and hydration. Regarding vitamin E capsules, better leave those where they are, or use them where they are intended for but do not use them topically. Studies have shown rubbing vitamin e into scars can make their appearance worse and cause skin reactions.



Wound Care vs Scar Treatment
Also the remark that the wound shouldn’t be treated until it’s fully healed should be clarified. In fact, optimal scar healing actually starts with proper wound treatment and if done well this can really make a difference. When speeded healing occurs and problematic aspects such as inflammation and infections are avoided the chances on developing more prominent scar tissue are decreased. The other way round; wounds that are not kept clean and looked after are prone to poor scar healing. Always consult your surgeon about the fastest way to heal open wounds. Tip: ask your medic about Medihoney wound dressings.

But the person giving this advice has a point. A clear distinction should be made between wound care and scar treatment. Scar healing remedies of a c-section scar should never be started before the incision wound has healed and closed.


The Best C-Section Scar Treatment
In this particular case, where this woman’s c-section scar is red and puffed up silicone strips can be a practical solution. It it is true that many scars, especially those resulting from surgery, can be red, bumpy, and look awful but eventually will improve. But silicone strips, which are in many cases FDA Class 1 Medical Devices, do not only improve the scar appearance, they also reduce or take away itchiness and pain. On top of that they reduce the chance on developing hypertrophic (red and raised) and keloid c-section scars. (keloids are scars that grow beyond the normal wound boundaries.)


Here’s a short review:

“The patches are called scaraway and are silicone sheets. I used them for my c-section scar and am VERY pleased. (My friends scar got red and bumpy..mine healed flat and pretty thin and is regular skin color now).. They adherer to your skin without tape (but they are not sticky like bandaids)..hard to explain..I hardly noticed they were on me…hope that helps”






Scar Pain and Massage
Some women experience pain in their c-section scar. This can vary from tingling to real pain as well as a numb feeling. Where some women loose sensitivity on the skin located around the scar tissue others experience extra sensitivity. Sometimes scar contractions can cause pain and discomfort. This can be solved by massaging the scar tissue because massage loosens the tissue, boosts circulation and thus makes the tissue softer.



C-Section Scars and Compression
Next to silicone strips compression is another scar healing therapy for which clinical evidence exists it actually works (although in lesser amount). Some women use compression belts also called C-Section compression bindersfor extra comfort, pain reduction and faster wound and scar healing. (Also scars seem to benefit from compression.)

Always avoid exposing your c-section scar to direct sunlight or use a high SPF sunscreen. Also when wearing thin clothes because many fabrics do not prevent the sun radiation from coming through.

powered by Makemeheal.com

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ScarTreatmentBlog.com

This blog's purpose is to provide information on all kinds of aspects of scar treatment. The information provided comes from my experiences treating my own scars. Subsequently the focus lies on over the counter products and home remedies.

To support the results of my research I will provide as much links to reports on clinical trials and studies as possible.

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