When the skin has sustained deep burns or scalds, surgery is performed to transplant healthy skin from another part of the body to the damaged area. To ensure this skin transplantation does not lead to the formation of proliferative scars – which are referred to as hypertrophic scars or keloids – a special type of treatment is required. As soon as the wound has healed, a therapeutically effective external pressure is applied to the wound area. This is done with the help of compression garments, which prevent an uncontrolled and excessive reorganization of the connective tissue from occurring. When subjected to this constant external pressure, the fibrous connective tissue cells in the wound arrange themselves uniformly and parallel to the wound and skin surface.
Faster healing, flatter scars
The constant surface pressure exerted by the compression garment enables the scarred area to mature more quickly. The consistency of the raised scar begins to change within just a short time, and the scar tissue becomes softer. The red scar tissue fades and the thickness of the scar decreases. Furthermore, the compression also reduces the formation of hardened scars, and the associated joint stiffening and uncomfortable itchiness. Even long-standing scars can be reduced by compression therapy.
The overall duration of the compression therapy depends on a number of factors:
You should discuss the therapy duration with your physicians during follow-up consultations. We recommend quarterly follow-up appointments.
It is essential that the compression garment be worn around the clock until the scar has fully healed. Even children will accept compression therapy well provided they are given time to get used to it.
Silicone retains the skin’s natural moisture preventing the scar area from drying out. Silicone products are made entirely from medical silicone. They are soft, highly elastic and very adaptable, which means people find the wearing experience to be pleasant rather than disruptive.
Depending on the scar and choice of the product, silicone can also be worn in combination with a compression garment. Using the silicone products early alongside compression therapy can be an ideal supplement and can boost therapeutic effectiveness:
Silicone inserts can also be worn under compression garments at points of the body where compression alone is not enough to build up the required pressure on the scar tissue. This can be the case, for example, on the ankle or the cleavage.
The physician, therapist or staff member of the medical supply store should check, on a regular basis, that the compression garment is being used in a therapeutically correct manner. The fit of the compression garment can be compromised by improper handling, natural wear-and-tear, or through changes in the size or weight of the child. Bandages that have been applied too tightly, for example, produce an increase in pressure that can negatively impact on the movement or breathing of the patient. How frequently the fit should be checked depends on the individual. A check at least every two to three months is advised for children still in the growth phase.
Optimum outcomes in follow-up compression therapy can only be achieved through ongoing cooperation between the patient, physician, therapist, medical supply store and manufacturer of the compression garment.
The following aspects are also important:
Silicone pads for the effective and individualized treatment of scars
The silicone pad softens the scar tissue and reduces reddening of the skin. It protects the sensitive healing layer of skin and prevents any direct rubbing.
The self-adhesive Juzo ScarPad is made from 100 percent medical silicone, which makes it highly elastic and very moldable. The surface is especially soft and comfortable against the skin.
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