Biodermis, 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

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

Various silicone scar sheets brands are available. There are some distinct differences in the type of silicones, fabrics, thickness, and adhesiveness among these brands. So which are the best buy? In my opinion the best silicone scar sheets are ScarAway and Oleeva. This because these are the only two brands that use the patented Silon technology. (ScarAway is the former Neosporin Scar Solution)

In short, Silon is a blend of Teflon and a certain type of silicones “which has unusual physical and chemical properties – particularly when formed into thin membranes. Research suggests that Silon acts to hydrate scar tissue, which in turn works to soften scar tissue, reducing its development and causing it to fade away faster.” Wikipedia

But there are more reasons why these two brands offer the best silicone sheets:

Breathability
Apart from silicones another material is commonly used to create a layer on the outside of the sheets. It is very important that this fabric is breathable. Oxygen should be allowed to transfer because if it doesn’t it can cause skin maceration. Maceration of the skin occurs when it is consistently wet. The skin softens, turns white, and can easily get infected with bacteria or fungi. Source: About.com: Dermatology. A visitor of one of my Squidoo lenses described this wrinkled white skin effect during the use of Dr. Blaine’s Scar Care sheets.

Stickyness
Those who have used silicone sheets know that keeping them attached can be somewhat of a burden. Especially on some (moving) parts of the body such as the face or neck. It should however be noted that the stickier the better does not apply here. If silicone sheets are too sticky they could create too much tension on the freshly formed, still delicate scar tissue which is not desired because it might worsen the scar. The ideal sheet would be sticky enough to help you position it on the scar, and use a medical tape (i.e. cotton or silk) to secure further if necessary.

Thin sheets versus thick pads
Thinner sheets with a compact layer of silicone are more comfortable and more “durable” which means they do not break down and you get more use out of them. The thicker “gel” type pads get dirt, etc embedded in them which is not sanitary when sealing to your skin for hours each day. The thinner sheets can be washed.

The only silicone scar sheets that have the breathable fabric and the thin, washable, medical grade, Silon technology silicones are the ScarAway and Oleeva sheets. Both doctor-level products are manufactured by BioMed Sciences inc. Oleeva Scar Shapes are pre-cut pieces of Oleeva Fabric for targeted scar management following surgery.

Hydration
It is theorized that hydrating properties play a major role in the mechanism of silicone sheeting. After serious skin injury trans-epidermal water loss is increased. [1] This water loss is more significant in hypertrophic and keloid scars and may be responsible for increased collagen production (abnormal scar tissue). The semi-occlusive nature of silicone scar sheeting improves scars by providing adequate but not excessive hydration. Dressings that are too permeable to water may be ineffective on scars because they fail to block water loss and related skin healing processes, whereas dressings that are too occlusive may cause skin maceration.

ScarAway is available online at Amazon and Drugstore.com. Oleeva can be ordered online at Makemeheal.com.

Note: also Scar Fx and Biodermis Epi-derm silicone sheets are medical grade products. This means they have a higher percentage, better quality silicones than some of the brands available in the drugstore.

[1] Suetake T, Sasai S, Zhen YX, Ohi T, Tagami H (1996) Functional analyses of the stratum corneum in scars: Sequential studies after injury and comparison among keloids, hypertrophic scars, and atrophic scars. Arch Dermatol 132:1453–1458

Has anyone tried Rejuvasil? It’s a silicone scar cream that also contains emu oil, vitamin C and squalene. According to the manufacturer it:

” has more effective ingredients than any other liquid silicone products and has been clinically proven to reduce keloids, hypertrophic scars, surgical scars, and burns. [...] is made with emu oil and squalene (shark oil) to make this treatment even more effective.”

I would love to hear your experiences because there are little to no reviews of this product. The reason I think it might be an effective scar treatment cream is because it also contains vitamin C.



Next to the, proven effective silicones (dimethicone), vitamin C is backed by several studies as an effective scar cream component. It is mainly considered a wound healing agent but topical use seems to have some benefits regarding scar treatment.



Some of these benefits include:

• promoting healthy scar tissue regrowth (collagen synthesis),
• protection from harmful sunlight radiation (ultraviolet A and B),
• lightening of dark colored scars (hyperpigmentation),
• and improvement of skin irritation, inflammation, itch, redness (inflammatory dermatoses).
• It’s also thought to have excellent hydrating properties.

Source: Wiley Interscience.



The problem with the addition of vitamin C (L-ascorbic acid) to skin care products is that it is highly unstable. This means that it reacts when exposed to e.g. air. Cosmetic manufacturers found a solution by using a more stable vitamin C variant called tetrahexyldecyl ascorbate. RejuvaSil contains this stable form of vitamin C.



I’m not aware of emu oil having any scar treatment benefits. Nevertheless the addition of this natural oil to Rejuvasil scar cream might still be useful because it is considered to be one of the few oils able to penetrate the skin. This trait would allow active ingredients to be carried with it into the deeper layers of the skin.

The only review I could find online is this one: (Average Customer Rating: 5 out of 5 )

“So far, the best scar gel for the price. I don’t see much of a difference between this one and another best seller scar gel that I have tried from the Derm Store, except this one is about $20 less. This was my second purchase and I plan on purchasing again.”

Rejuvasil scar cream can be purchased online at Amazon (cheaper) and MakeMeHeal. (two for one)

After application silicone creams provide a thin film covering the scar. The area should be clean and dry before the self-drying cream is applied. Daily use is recommended for optimal results. Major advantage of silicone ointments over patches is that it can easily be used on the face and other parts of the body that are hard to keep covered with patches.



“The application of silicone gel improves the redness, itching, texture and thickness of hypertrophic and keloid scars in 60% to 100% of cases “ (Poston, 2000)



Ingredients: Silicone (dimethicone), Emu Oil, Squalene (Shark Oil), Tetrahexyldecyl Ascorbate (Vitamin C)



Did you use RejuvaSil? Please let others know what you think. You can share your experiences below.

ScarAway silicone gel for scars

I have used medical grade, doctor-approved silicone scar sheets myself. (Silicones are the only over the counter treatment proven with over 20 years of studies to work to flatten and fade old scars and help prevent thickened scars.)

The sheets I used were of an European brand of which the quality can be compared with that of ScarAway sheets. I created a write-up on my experiences with silicone scar treatment where I recommend ScarAway.

A visitor of this review page informed me about how she tried various silicone sheet brands which made her aware of the many differences between them.

She notes: “there are very distinct differences in the types, thicknesses and material that cause each one to be a whole different experience. Some are thick, some are thin, some are clear and some are opaque. Some are fabric, some have a plastic or polyurethane outer layer on the silicone, and some have a fabric backing.”

Because there are so many different brands to choose from choosing the right one be very confusing. That’s why she had an in-depth conversation with her plastic surgeon. Here’s what she informed me about the conversation with her surgeon:

Make sure to use breathable silicones “It is important that the material baking on the silicone is breathable. Silicone fabric types with a baking that does not allow the transfer of oxygen should be avoided. Do not use the cheaper “tape” types that don’t breath which can cause skin maceration.

Definition: The softening and breaking down of skin resulting from prolonged exposure to moisture. The skin softens, turns white, and can easily get infected with bacteria or fungi. This type of problem can cause more scarring or widening of the scar.”

Avoid the use of sheets that are too sticky. “I was baffled by this as I see a complaint of users of silicone sheet products is that they don’t stick real well by themselves and roll off after a period of time, etc. Some sheets are not made to be self adhering at all ..more like a piece of rubber, but those buckle even under medical tape.

My surgeon explained that a proper silicone sheet should never produce a severe pulling on your scar. If it is too sticky, there is the potential to further damage the new skin, or even open a delicate healing area. in general, he said the ideal sheet would be sticky enough to help you position it on the scar, and use a medical tape..cotton or silk, to secure further if necessary…but stickier does not equate to more effective.”

Thin silicone sheets vs thick silicone gel pads “Thinner sheets with a compact layer of silicone are more comfortable and more “durable” which means they do not break down and you get more use out of them. The thicker “gel” type pads get dirt, etc embedded in them which is not sanitary when sealing to your skin for hours each day. He advised against a thick gel type pad. The thinner “sheet type” can be washed cleanly. So which ones are which out there on the market?

ScarAway Review
The only silicone scar treatment product that has the breathable fabric AND the thin washable medical grade silicone in one is the expensive sheets through your surgeon and the new ScarAway sheets. He gave me a coupon for $2.00 off ScarAway at Walgreens.

I have also found them online at Amazon.com and Drugstore.com. So, I will journey on using ScarAway sheets. Like you do, my surgeon recommended using the sheets at night and the ScarAway 100% Silicone Serum during the day. I know this is long..it took my doctor 45 minutes to explain it all to me. I hope this is helpful to all and answers the many question out there about silicone scar treatments.”

If you have any questions regarding silicone scar sheets, ScarAway, or scar treatment in general don’t hesitate to ask me by leaving a comment. There are also many questions and answers on the silicone scar treatment page I was talking about. Thanks again for sharing this in-depth information Laura!

centella asiatica

Centella Asiatica is a mildly antibacterial, anti-viral, anti-inflammatory herb indigenous to south and south east Asia. The plant grows in swampy areas in India, Sri Lanka, Indonesia, Malaysia, Iran, northern Australia,  Melanesia, and New Guinea.

The herb has been used for ages for its medicinal qualities in both traditional Chinese medicine and traditional Indian (Ayurvedic) medicine as well. It is also known as Gotu Kola, Asiatic or Indian Pennywort, Rau má in Vietnam and Saraswathi Plant” in India.

(photo by suatu ketika | Creative Commons)

Ascribed benefits of its culinary and medicinal use are stimulation of overall health, rejuvenation, boosting the nervous system and increasing concentration. Some extracts have been used traditionally to treat leprosy. In Thailand it is used as a detoxifying agent to aid treatment of opium addicts.

A popular folklore tale from Sri Lanka speaks of a prominent king from the 10th century AD named Aruna Withane who claimed that Gotu Kola provided him with energy and stamina to satisfy his 50-woman harem.  Source: Wikipedia

Centella Asiatica Scar Creams
Several studies show Centella asiatica’s ability to improve wound healing. Some aspects of the chemical compounds in this herb seem to aid scar treatment as well. More specific; the main substances; asiatic acid, asiaticoside and brahminoside seem to stimulate type 1 collagen production which leads to less prominent scars.

Also inflammation, which is a major factor in (abnormal) scar creation, is reduced. Apart from this, the process of myofibroblast production, which boosts wound healing by contracting the edges of the wound, is decreased. It is theorized that residue myofibroblasts are the reason for hypertrophic and keloid scar development.

Madecassol
A segment of the chemicals in the Asiatic acid are also described as madecassol. This madecassol has shown to be an effective treatment of keloid scars. (E1-Hefnawi H: Treatment of keloids with asiaticoside. Dermatologica 125:387, 1962)

Another scientist found that when taken orally madecassol turned out to be “an active scar improver with few side effects”.  His conclusion was that although more extensive study on its true mechanism of action and long-term safety needs to be done, it is promising regarding effective treatment of keloids. (Bosse JP: Clinical study of a new anti-keloid agent. Ann Plast Surg 3:13, 1979)

Landes reported about his 20 years of experience with madecassol ointment. He reported to use madecassol as additional treatment after cosmetic surgery. (Landes E: Konservative Therapie yon Narben und Falten. Z Hautkr 62:805, 1987)

No Side Effects
Studies as well as anecdotal reports have not shown any side effects of the topical application of Centella asiatica extract.  Because the plant and its three main chemical substances (terpenoids) are weak sensitizers skin irritations are considered unlikely, and have not been reported.


Centella Asiatica based Scar Creams
A well known scar cream is Alpha Centella cream. This product is used by some physicians, especially in Asia, to prevent and treat scars. The cream has two main ingredients.  Apart from the aforementioned three extracts of C. asiatica it also has extracts of the Bulbine frutescens plant in it. This herb possesses moisturizing and antibacterial properties and its action is sometimes compared with Aloe Vera (as is C. asiatica).

A newcomer on the market is Scartini serum with main ingredients Centella asiatica and lychee extract. As far as I know, this is the first cream with this centella asiatica (Gotu Kola) ingredient on the American consumer market, which could be promising. How much of the Centella asiatica ingredient is present in the product is unclear. Also the dermal benefits of lychee extract are not convincing when examining available research.


Conclusion
The positive effects of C. asiatica in wound healing are convincing (documented to aid wound healing in a large number of scientific reports) Also evidence for the improvement of, especially, keloid scar appearance is available but more research has to be done. Key effects appear to be speeding scar maturity, anti-inflammatory action and the decrease of excessive scar tissue (myofibroblast production). 

Or as this study abstract on New Innovations in Scar Management puts it:

“Centella asiatica has been documented to aid wound healing in a large number of scientific reports. The most beneficial effect appears to be the stimulation of maturation of the scar by the production of type I collagen and the resulting decrease in the inflammatory reaction and myofibroblast production.”
That’s why this report mentions Centella asiatica together with effective measures such as; pressure therapy, hydration, and silicone sheeting.

Since there do not seem to be any really effective scar ointments (except for the prescription cream Imiquimod (brand name Aldara) and silicone gel creams) Gotu Kolu based scar creams might be a worthy contribution to the effective scar products pool.

Silicone scar sheeting is used by hospitals, burn centers,  cosmetic surgeons, and dermatologists to treat and prevent scarring. Having used many products myself I have come to the conclusion that not only are silicone sheets the best solution for (surgical) wound scars but also that it matters which brand you choose. The best option is to use medical grade, or the so called doctor approved brands. ScarAway is such a brand.

ScarAway (formerly known as Neosporin Scar Solution) is released on the consumer market by Bio-Med Sciences. These sheets ( or patches, strips) are manufactured with the proven Silon technology. The last years ScarAway silicone scar sheets were improved with a slightly larger size and significantly better adhesion.

Supporting my own findings here are two comments/ reviews posted on my web page about my experiences with scar treatment:

Lori D says:

The only silicone sheet available that is professional grade and also thin (more comfortable) is Scar Away. I tried a few without success and then finally found scaraway sheets. Here is my experience. I tried rejuvaness, but it is just piece of rubber…it does not have any stickiness to help it stay on so even when i taped it on, it would slide and fall off. No effect whatsoever on my scar. I tried another sheet (blaines scarcare?) it was so thick and lumpy that it was really uncomfortable and felt itchy. No way I could wear that 12 hours a day!. I was very discouraged. When I went to my doctor for help with my scar, she recommended ScarAway. I used the 7″ x 1.5″ strips for my C-section scar. The strip was VERY thin and has a nice soft fabric on the outside . I left mine on almost all of the time and each strip lasted longer than the week suggested. The package came with enough for the whole treatment (my doctor recommended 12 weeks). My scar is barely even visible now

steve p says:

I just went to drugstore.com to order ScarAway silicone scar sheets and found out they have a new 100% silicone gel that does not have any “useless” ingredients like vitamin e. cortizone. etc. So if you are looking for the scienticfically proven silicone only, I am going to use the scaraway sheets in combination with the silicone serum when i am not wearing he sheet. I know I have to wear the sheet 12 or more hours, and will wear the gel the other hours. I read that the longer silicone is in contact with your skin, the better. I also found the scaraway on drugstore.com and amazon.com comes with a free case to keep it in.

Why you should avoid silicone strips that are too sticky and too thick, and more advice on silicone scar products in this ScarAway review.