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How can I reduce the appearance of my c-section scar?

Many women are afraid of what a cesarean scar will look like. It is not always perfect and almost invisible; however, it all depends on the care performed. Above all, the cesarean scar does not need to become a problem.


Cesarian section is a fetal delivery from which a linear horizontal scar may result most commonly in the bikini line. The World Health Organization (WHO) recommends that the optimal rate of Caesarean section should lie between 5 and 15%, however, this surgical procedure accounts for more than 1 in 5 (21%) of all childbirths globally. The projections estimate that these numbers will continue to rise, reinforcing the need for implementing non-clinical actions that can reduce the medically unnecessary use of cesarean.


Several approaches such as silicone dressing, scar massage and laser therapy are proposed to minimize C-section scarring. Topical scar management with silicone gel has been anticipated as the most effective form of non-invasive treatment for the prevention of the development of abnormal or excessive scarring, demonstrating significant improvement in scar elasticity, thickness and irregularity. Several studies support the prophylactic effect of the application of silicone materials, preventing further complications such as functional limitations, pruritus, pain and cosmetic issues. 


KELO.CELL Biogel has a high composition in silicone polymers (more than 90% in dimethicone and its derivatives) which may increase skin hydration and reduce collagen production, thereby contributing to softer and flatter scars. It also incorporates unique bioactive stem cells factors that, by boosting an anti-inflammatory response, will promote optimal skin recovery, restoring the skin's barrier faster (see “The power of stem cells in wound healing").
KELO.CELL Biogel with its unique dual formulation will help soften and flatten raised scars, as well as minimize tissue inflammation associated with wound healing. 

References

1.Robertson S, White S. Cesarean Section. High-Quality, High-Volume Spay Neuter Other Shelter Surgeries 2021; 267–280.

2.WHO. Caesarean section rates continue to rise, amid growing inequalities in access (2021, accessed 22 March 2022).

3.Marshall CD, Hu MS, Leavitt T, et al. Cutaneous Scarring: Basic Science, Current Treatments, and Future Directions. Adv Wound Care 2018; 7: 29.

4.Pruksapong C, Burusapat C, Hongkarnjanakul N. Efficacy of Silicone Gel versus Silicone Gel Sheet in Hypertrophic Scar Prevention of Deep Hand Burn Patients with Skin Graft: A Prospective Randomized Controlled Trial and Systematic Review. Plast Reconstr Surg Glob Open; 8; 2020.

5.Fabbrocini G, Marasca C, Ammad S, et al. Assessment of the Combined Efficacy of Needling and the Use of Silicone Gel in the Treatment of C-Section and Other Surgical Hypertrophic Scars and Keloids. Adv Ski Wound Care 2016; 29: 408–412.

6.Gold MH, Berman B, Tretti Clementoni M, et al. Updated International Clinical Recommendations on Scar Management: Part 1-Evaluating the Evidence. Dermatologic Surg 2014; 40: 817–824.

7.Ito Y, Konishi A, Okubo M, et al. Safety assessment of the prophylactic use of silicone gel sheets (Lady Care®) for the prevention of hypertrophic scars following caesarean section; 41: 380–384.

8.Chernoff WG, Cramer H, Su-Huang S. The efficacy of topical silicone gel elastomers in the treatment of hypertrophic scars, keloid scars, and post-laser exfoliation erythema. Aesthetic Plast Surg 2007; 31: 495–500.

9.Hsu K-C, Luan C-W, Tsai Y-W. Review of Silicone Gel Sheeting and Silicone Gel for the Prevention of Hypertrophic Scars and Keloids. Index Wounds 2017; 29: 154–158.

10.De Giorgi V, Sestini S, Mannone F, et al. The use of silicone gel in the treatment of fresh surgical scars: a randomized study. Clin Exp Dermatol 2009; 34: 688–693.

11.Medhi B, Sewal RK, Kaman L, et al. Efficacy and Safety of an Advanced Formula Silicone Gel for Prevention of Post-Operative Scars. Dermatol Ther (Heidelb) 2013; 3: 157.

12.Kim SM, Choi JS, Lee JH, et al. Prevention of Postsurgical Scars: Comparsion of Efficacy and Convenience between Silicone Gel Sheet and Topical Silicone Gel. J Korean Med Sci 2014; 29: S249.

13.Lin YS, Ting PS, Hsu KC. Does the form of dressings matter?: A comparison of the efficacy in the management of postoperative scars between silicone sheets and silicone gel: a randomized controlled trial. Medicine (Baltimore); 97. Epub ahead of print 1 Aug 2018


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