CICA-CARE◊ Silicone Gel Sheet
CICA-CARE◊ Silicone Gel Sheet helps to soften, flatten and fade scars¹ ² ³ ⁴
To help soften, flatten, and fade scars
CICA-CARE◊ Gel Sheet is a scar treatment that is washable and reusable5,6 silicone gel sheet for use on typical hypertrophic scars (where a thicker layer of scar tissue is formed, and will eventually heal flat) and keloid scar treatment (where scar tissue grows beyond the original wound, and can often be raised)1,2,3,4,7.
Features
Choosing the right product
CICA-CARE Scar Treatment is available in a variety of sizes, depending on the size of your scar.
If you are unsure, please ask your pharmacist before purchase.
| Size | Unit of Measure |
| 6cm x 12cm | 1 silicone gel sheet |
| 3cm x 12cm | 1 silicone gel sheet |
| 12cm x 15cm | 1 silicone gel sheet |
If you are unsure, please ask your pharmacist before purchase.
Examples of CICA-CARE In Use² ³
How to use CICA-CARE
Step 1. Wash your hands before and after dealing with your scar.
Step 2. Gently clean the scar and surrounding tissue with mild soap, and rinse with warm water.
Step 3. Cut the CICA-CARE◊ Silicone Gel Sheet to fit your scar, allowing a small overlap on the surrounding skin.
Step 4. Peel off the backing sheet and, without stretching it, apply the adhesive side to your scar.
Step 5. If necessary, use a light crepe bandage, PRIMABAND◊ or tape to keep your CICA-CARE◊ in place.
Step 2. Gently clean the scar and surrounding tissue with mild soap, and rinse with warm water.
Step 3. Cut the CICA-CARE◊ Silicone Gel Sheet to fit your scar, allowing a small overlap on the surrounding skin.
Step 4. Peel off the backing sheet and, without stretching it, apply the adhesive side to your scar.
Step 5. If necessary, use a light crepe bandage, PRIMABAND◊ or tape to keep your CICA-CARE◊ in place.
Safety & Warnings
Do not use on patients with complicating medical factors which would make them unable to use the gel sheet properly. Do not use on patients with dermatological conditions ( e.g. Psoriasis & Acne). Do not use on open wounds or where the skin integrity is compromised. In some patients, a rash has been observed on the covered skin. This has been attributed to either poor hygiene or to the product being applied with pressure too tightly. Should a rash appear, reduce CICA-CARE therapy time to 12 hours on 12 hours off. If the rash persists, discontinue use and consult your physician. On surgical incisions, use CICA-CARE only after sutures have been removed and the site is fully healed. Follow acclimatisation and washing procedures carefully. Use of CICA-CARE is not recommended on young children unless used in combination with an appropriate secondary retention dressing. Do not use ointments or creams under gel sheet as they may interfere with the performance of the product.
Complications and adverse effects
The risks and complications with CICA-CARE are:
1. Superficial maceration of the skin.
2. Rash
3. Pruritus.
Complications and adverse effects
The risks and complications with CICA-CARE are:
1. Superficial maceration of the skin.
2. Rash
3. Pruritus.
Other suitable products
To help treat your wound, CICA-CARE Scar Treatment is suitable for use with the following products:
To keep your dressings in place
PRIMACREPE – retention bandage. Available in medium or heavy weight, depending on requirements.
PRIMAFIX Plus – conformable retention tape.
PRIMABAND – elastic conforming bandage.
To keep your dressings in place
PRIMACREPE – retention bandage. Available in medium or heavy weight, depending on requirements.
PRIMAFIX Plus – conformable retention tape.
PRIMABAND – elastic conforming bandage.
References
1. Smith+Nephew 2000.A Controlled Evaluation of CICA-CARE, Applied Following Suturing, in Preventing the Development of Hypertrophic Scars and Keloids Following Excision or Biopsy of Skin Lesions. Internal Report. STR/ST212/CT9604.
2. Gold MH, Foster TD, Adair MA, Burlison K, Lewis T. Prevention of Hypertrophic Scars and Keloids by the Prophylactic Use of Topical Silicone Gel Sheets Following a Surgical Procedure in an Office Setting. Dermatol Surg. 2001;27(7):641-644.
3. Momeni M, Hafezi F, Rahbar H, Karimi H. Effects of silicone gel on burn scars. Burns. 2009;35(1):70-74.
4. 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.
5. Carney SA, Cason CG, Gowar JP, et al. Cica-Care gel sheeting in the management of hypertrophic scarring. Burns. 1994;20(2):163-167.
6. 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
7. Donald L. Comparison of 2 Types of Silicone Gel Sheets. Australian/New Zealand Burns Association(ANZBA). 1995;14:10-11.
8. Quinn KJ. Silicone gel in scar treatment. Burns. 1987;13:S33-S40.
9. Li-Tsang CWP, Lau JCM, Choi Jenny, Chan CCC, Jianan L. A prospective randomized clinical trial to investigate the effect of silicone gel sheeting (Cica-Care) on posttraumatic hypertrophic scar among the Chinese population. Burns. 2006;32(6):678683.
10. Derbyshire E. Innovations in skin camouflaging techniques: Where are we scientifically? Int J Cosmet Sci. 2019;41(6):526-533.
11. Ngaage M, And Agius M. The Psychology of Scars: A Mini-Review. Psychiatria Danubina. 2018;30(Suppl 7):633-638.
12. Smith+Nephew 2018.User verification testing of usability related Design Inputs for Cicacare Silicone gel sheet. Internal Report. U/040/R3.
13. Smith+Nephew 2018.Simulated Wash study to determine if CICA-CARE has the ability to withstand being wetted. Internal Report. U/040/R4.
14. 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.
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