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Molly Maloof, MD

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C section scar - Embrace Scar Therapy

I just had a C-Section and am horrified of the scar- A plastic surgeon suggested "Embrace" Advanced scar therapy- http://www.embracescartherapy.com/

The photos are really impressive- reducing the red appearance and the ropy thick hardness of the scar.

Have you used it in your practice? Does it work? The science seems solid- "mechanically offloading tension" during the skin healing process. The therapy (8 weeks) cost about $300- that seems reasonable to pay if it works- DOES IT WORK?
Poster
  • Female | 45 years old
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Featured Answer

2 UpVoted this answer
We have been using Embrace Scar Recovery for several months and have had great results. Patients have been very satisfied. We have not done a case study to treat half the scar with Embrace and the other half without so cannot tell you the percentage of improvement with and without use. We use the Embrace 2 weeks after the incision in closed and apply the strips for 8 weeks. Great results.
Alan N. Larsen
1 UpVoted this answer
Embrace is a nice option for scar care, especially an abdominal scar like a fresh C-section, though it would need to be applied as early as 2 to 3 weeks to harness the full biomechanical effect on scar healing. This may be difficult, depending on the C-section closure technique and persistent skin excess. For a healed C-section that has not healed optimally, a scar revision followed shortly with Embrace therapy may be optimal.
1 UpVoted this answer
My experience is that it is superior to silicone scar gels or sheeting.

Here is some more information regarding best scar management practices:

Scar Management tips:

1.Minimize tension on the scar. Steri-Strips and/or surgical tape are often placed in non-hair bearing areas at the time of surgery to minimize tension and keep pressure over the scar. This minimizes the stress that can pull the scar apart (dehiscence) creating a wound and delaying healing time, and can make the scar wider, or more “ropy”. In the first few weeks after surgery, I recommend the use of Embrace Scar Therapy which is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar.

2.Keep your incision site/scar clean to prevent infection. Follow your surgeon’s wound care instructions to the letter with out modification. Never apply different products then recommended without first discussing them with your surgeon. This is especially important during the first few weeks. If there are any signs of infection, contact your surgeon’s office right away and/or see your doctor or his nurse immediately. Typical signs of infection may include redness outside the immediate incision site, asymmetric swelling, and drainage, of pus, fever, chills, and “feeling sick”.

3.Protect your scars from the sun. Staying out of the sun is the best advice. Minimal exposure to sunlight is prevents hyperpigmentation (permanently turning brown) and other problems that can make the scar more noticeable. Sunscreen, at least 30 SPF and an overlying make camouflage make up additionally protects the scar from the suns harmful rays. This advice is especially important the first year following your surgery.

4.Use specific scar maturation products recommended by your surgeon. Patients seem to have their own opinions on this touting everything from Pure Vit E, Coco butter, to Aloe Vera, etc but most have minimal benefit other than keeping the scar hydrated. Although hydration is important there are better, scientifically studied products with greater efficacy. Most of the scientific articles written about this subject indicate that topical silicone gel or silicone sheets work the best. The best product available in my opinion is the Embrace Scar Therapy System by Neodyne BioSciences, Inc. available in many surgeons’ offices. Essentially this is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar. For areas that are not applicable for this product (e.g. smaller areas or on the face), I prefer BioCorneum or Kelo-Cote products There are a lot of products to choose from, but silicone should be one of the key ingredients. Although Mederma, an onion extract derivative active ingredient rather than mainly silicone based may help, primarily silicone based products are better and many also contain other ingredients that may be synergistic (hydrocortisone or other steroid, Vitamin E, Sunscreen, etc).. If the reader has problems obtaining these they can call my office. Patient compliance is also critical – use often and according to directions or it will not work optimally. NEVER apply products without first discussing them with your surgeon.

5.Monitor to make sure your scar is progressing optimally. Keep your scheduled follow-up appointments with your surgeon to verify that your scars are maturing as expected. Occasionally if indicated you may need a topical steroid preparation or even a series of injections (5-FU and/or Steroids) or laser treatments to treat or prevent scar hypertrophy or keloid formation (red raised scars), or other topical medicines to treat post inflammatory hyperpigmentation (brown scars) with prescription creams and possible laser treatments.

See this link for more information: http://drnichter.com/best-scar-management/
Embrace can help. The "active ingredient" is silicone. Silicone has been used for decades for scar therapy.

It has been used in burn units to treat burns of the face and extremities, and there are countless studies supporting it's efficacy. I do believe in reducing the tension on wounds following surgery. This may be achieved when your surgeon repairs a wound in layers. I generally treat wounds with steri strips following surgery for 6 weeks. Then we use silicone strips for up to 12 weeks. These methods do not necessarily need to be in the form of "Embrace". But "Embrace" can be used. You are simply paying more for a brand, in my opinion. Silicone strips manufactured by "Scar Away" - Ethicon, Curad, and others. Hope this helps.
Careful subcutaneous closure will help prevent an obvious or painful scar.
there is several good outcomes after using Embrace Scar tretament, you may try it and see if there is improvement in your scar, if not then try to find out other options that may work for you.
Mario Alfonso Gonzalez Cepeda
Scientific research has excellent data on the efficacy of Embrace Therapy. In my practice we have a philosophy of anti-tension taping for 6 weeks followed by erbium laser resurfacing over the scars until they are diminished. We have had excellent results with this process. For high-risk patients who have formed keloid scars, wide scars or hypertropic scars we have found Embrace Therapy quite useful and have seen dramatic results. Embrace is used for approximately eight weeks postoperatively and it is tolerated quite well by the patients and thus far we have 100% satisfaction from patient using this treatment.
We have most definitely used Embrace scar therapy in our practice and we can tell you firsthand - it works! A few of our patients seemed to be a bit sensitive to the adhesive and were unable to complete the full 8 week treatment course, but other than that we've heard/seen nothing but great results. We use it a lot for our abdominoplasty patients which sometimes requires two small patches of Embrace versus one large patch, which costs a bit more but ensures the best results by covering the entire incision.
Time heals all wounds. This adage is often true, what it means is that your scar should fade and look much better over the next 6 - 12 months. Cheaper stuff, like scar fade or mederma also work. If you are a Keloid former then you might need some other form of therapy----
Embrace has good clinical studies to support it but regular silicone gel sheets work almost just as well at a lower cost. See this link for more details: http://drgutowski.com/patients/scar-treatment/
Karol A. Gutowski