II. Indications
- Prevention or Treatment of Hypertrophic Scar or Keloid
III. Contraindications
- Open wound
IV. Mechanism
- Softens and flattens scar via Occlusion
V. Preparations
- Kelo-cote
- ScarAway
VI. Technique
- Start once wound closure has occurred (3-4 weeks after injury)
- Use gels on the face and extensor surfaces (knees and elbows) and sheets on larger flat areas of closed skin
- Cut sheeting 1-2 cm larger than involved area
- Wash the sheet and the scar with soap and water daily between applications
- Apply directly over wound and leave in place for 12-24 hours per day for 2-3 months
- Example: Start Day 28 for 3 months after wound closure
- Longer use beyond 3 months does not improve outcomes
VII. Advantages
- Simple and painless with few adverse effects
- Consider in children intolerant to local steroid
VIII. Efficacy
- Reduces hardness, Hyperpigmentation, elevation and Pruritus associated with scar
- Does not eliminate scar
- Improves >80% of Keloids