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Why scars absolutely need to be treated  

Unfortunately, scars almost always leave behind marks on the skin. However, good treatment options exist that can considerably improve the appearance and functioning of the areas where marks are left behind. There are many other reasons why scars should be treated besides aesthetic ones. For one thing, failure to treat scars can lead to hypersensitivity, itching, pain, skin stretching, tension and tissue adhesions. In addition, lack of treatment can lead to an impairment of function and movement in hands and joints, for example. 

Depending on their location and severity, heavily raised and proliferating (hypertrophic) scars or bulging scars (keloids) in particular can also cause mental or emotional stress, or even trauma.  

Scar treatment is most successful in the first two years after scar formation, which is why this time should also be used to improve the quality of the scar.

Woman with ScarPrime Light leggings

Reasons for scar treatment

  • Prevention of impairment of function and movement
  • Promotion of scar tissue flexibility
  • Pain reduction
  • Reduction of hypersensitivity and itching
  • Improvement of appearance
  • Prevention of mental or emotional effects (trauma)

What is the best way to treat scars?  

Every scar is different, which is why scar treatment will vary depending on scar type, a scar’s location and other factors. In general, however, treatments usually involve different measures that complement one another.
Starting treatment soon after a medical procedure is necessary to achieve the best possible result. This way, maximum use can be made of the time in which the scar is active. For all types of scars, non-invasive (non-surgical) treatment options should therefore be started as soon as the wound has healed.
Scar revision may be necessary for scars that cause significant function and mobility restrictions. Depending on the characteristics of the scar, this revision can be carried out surgically or by using laser therapy etc.
The responsible specialist doctor will select the most suitable combination of different treatment methods in each case.

Treatment options 

With regard to scar treatment and therapy, a basic distinction is made between non-invasive(or conservative) and invasive treatment methods. Conservative treatment involves all medicine-based treatment and physical therapy approaches. Invasive treatment refers to all measures that involve penetration of the body – i.e. the skin is severed. This mainly involves surgical procedures.

How does compression therapy work?

One possible treatment method in scar therapy is the application of pressure (compression) on the scarred area. This can be done using flat-knitted compression garments that are tailor-made for the respective part of the body. Compression has been used successfully in scar therapy for many years. Compression therapy can even benefit older scars as long as the scar in question is still active and is being supplied with blood.

Woman with a thorax garment

Adjusting the compression garment  

If the compression garment fits exactly, it exerts medically effective and constant pressure, considerably helping to improve the scar area. It shouldn’t be constrictive, but it shouldn’t slip either. Specially trained medical products suppliers will take body measurements, which will make it possible to manufacture a compression garment with a precise anatomical fit (such as ScarComfort). The measuring process also determines whether additional extra options like pressure pads need to be incorporated in order to achieve ideal and even pressure in the scarred area. Doctors will prescribe the right compression class – and thus the right pressure intensity – for the treatment in question .

The ideal fit for compression garments 

Compression garments sit very close to the body, like a second skin. This is the only way to ensure that the desired pressure can be achieved. Particularly at the start of therapy, putting on and wearing the compression garment can therefore need some getting used to and can also sometimes be unpleasant in the case of relatively young scars. This should not put anyone off, as a satisfying result can only be achieved if one wears the compression garment continuously throughout the day and at night.  

With a little practice and handy aids, putting on the garment will get easier with time and wearing it will increasingly become part of everyday life.

Effectiveness of compression therapy

Image of a hypertrophic scar

Fig. 1 Hypertrophic, bulging scar without compression

Flattened scar below the compression knit

Fig. 2 Flattened scar below the compression knit

Compression therapy can be started as soon as a wound has closed. The uniform surface pressure applied by the compression garments over a large area can have numerous positive effects on the scarred area:

  • Prevention of uncontrolled growth
  • Prevention of extensive growth of the scar
  • Fading of the scar
  • Softer scar tissue
  • Reduced thickness of the scar
  • Protection of the sensitive skin or skin graft
  • Reduced itching in the scar area
  • Pain relief
  • Increased mobility of scars in joint areas
  • Minimised risk of scar shrinkage and resulting joint stiffness

Pads made of silicone

Silicone pads can 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 on the ankle or in cleavage areas, for example.

Duration of compression therapy

The required length of compression therapy depends on several factors and can therefore range from six months to two years. One’s own commitment to the therapy, as well as patience and support and encouragement from family and friends, can significantly contribute to the success of the therapy. Wearing the compression garment consistently (in accordance with the doctor’s instructions) is the only way to ensure that the scar heals well without restricting any functions.

Other factors that influence the duration of the therapy:

  • The severity of the scars
  • The site of the scar and the size of the surface affected
  • Healing responses that may vary from person to person
A family that is drawing

Good to know

In many cases, compression therapy can eliminate the need for surgical scar revision. However, this must be determined on a case-by-case basis.

Silicone therapy 

Treating scars using silicone is another effective option in scar therapy. Silicone retains the skin’s natural moisture, preventing the scar area from drying out. Silicone products are made of 100% medical silicone. They are soft, highly elastic and very adaptable, which means people find the wearing experience to be pleasant rather than disruptive. Compression pads – like the Juzo ScarPad – are self-adhesive and can be worn either alone or in combination with a compression garment. Other silicone products – like Juzo Silon®-TEX – are sewn directly into the compression garment. Using silicone products early in conjunction with compression therapy can be an ideal supplement and can boost therapeutic effectiveness:  


  • Improvement in the softness of scar tissue
  • Reduction of uncontrolled and excessive growth of the scar
  • Additional protection of fresh scar tissue or skin grafts
  • Prevention of direct rubbing on the skin

Good to know

Silicone products are not used until a wound has closed completely. It’s important to clean silicone sheets on a regular basis in order to ensure proper hygiene and prevent irritation of the sensitive newly formed skin.

Physical therapy and occupational therapy

The replacement tissue in a scar unfortunately does not display all the characteristics of the original skin. Scar tissue on hands and feet especially, but also on all joints, can result in restricted mobility and functionality. The main goal of physiotherapy-based scar treatment is to maintain mobility and functionality as much as possible, or to restore such mobility and functionality as has been lost. The use of manual movement and massage techniques improves regional circulation, loosens adhesions from structures underneath the skin, reduces feelings of tension and hypersensitivity and generally makes scars softer and more elastic.

Mother and daughter at a medical retailer

Scar care

One can begin scar care themselves once a wound has closed completely. Because scar tissue tends to dry out, creams and gels with a silicone additive are recommended for scar care. These creams and gels form a thin film on the scar surface and keep the scar from drying out. Rubbing in these products intensively and regularly makes the scar tissue more flexible and more supple.

In order to prevent inflammation, the scar area should be cleaned on a regular basis and always kept hygienically clean.

There are numerous invasive treatment methods that can be used in line with different scar types and treatment goals. Whereas some methods are geared mainly towards restoring mobility and functionality, others are designed primarily to remove or reduce visible deformations and noticeable skin changes.

Surgical scar removal  

Relatively small scars, hypertrophic scars and keloids can be surgically removed. The gaps that form as a result are usually filled with surrounding tissue.

A diverse range of treatment options are available for larger scars as well. In a serial excision, larger gaps are closed gradually in several surgical procedures. Alternatively, missing skin can be replaced by skin taken from another part of the body.
Full-thickness skin grafts (skin grafts consisting of an area of skin detached in the subcutis, with a complete epidermis component) are used in most cases for the face and areas subject to particular stress, such as joints. On the other hand, split-thickness skin grafts are often used when wounds are deep and extensive. These skin grafts use only the outer layer of the skin and parts of the middle layer. The grafts here can also be cut additionally and then fanned out like a net in order to cover a larger area.

Possible invasive treatment methods, depending on the type of scar in question

 Hypertrophic scars (raised scars)Keloids (bulging tissue proliferation)Atrophic scars (sunken scars, acne scars)Sclerotic scars (shrunken scars)
Surgical scar removal++ +
Dermabrasion+ + 
Microneedling  + 
Subcutaneous injections  + 
Cortisone injections++  
Laser treatment+in combination with surgical removal+ 
Radiation therapy +  

Tips for successful scar treatment and therapy

We have put together a few helpful tips that can promote the success of your scar therapy. It is often the small things that don’t require too much effort that can support the progress of therapy and make treatment easier for you.

Icon 23-hour wearing period

Wearing period
Wear your compression garment exactly as prescribed by your doctor. This is the only way to guarantee an optimum treatment outcome. Normally, your garment should also be worn at night and only removed when it needs to be washed. 

Icon Sun protection

Do not expose your scars to direct sunlight and protect yourself sufficiently with sun cream. Direct sunlight promotes the formation of hypertrophic scars. The scar tissue can also darken. Compression garments from Juzo (Juzo ScarComfort) guarantee you UV Protection Factor UPF 30. Juzo silicone sheets  (Juzo ScarPad)  offer additional protection as they have a UV Protection Factor of UPF 50.

Icon Washing at 40 degrees

Cleaning compression garments
Your compression garment can be washed in the washing machine on a gentle or delicate wash cycle (40°C or less). Residue of skin scaling, ointments, dirt and dust particles can collect in the fabric. You should therefore wash your compression garment every day – this is the only way to ensure that the elastic properties will be retained over the long term, and it will also increase your compression garment’s already high level of durability. We recommend using the gentle Juzo special detergent every time you wash your garment.. Please do not use any fabric softener as the plasticisers it contains damage the compression fabrics!

Icon Physical therapy / occupational therapy

Physical therapy / occupational therapy
Targeted movement through physical and occupational therapy plays an important role in the effectiveness of scar therapy. Such movement mobilises the scar tissue and improves circulation, making the connective tissue softer. Furthermore, it allows joint deformities or limb stiffening to be treated in the best possible way, leading to the achievement of optimum results. Always follow the treatment recommendations provided by your doctor.

Icon Cleaning silicone sheets

Cleaning silicone sheets
Clean your ScarPad every day – this is the only way to ensure the hygiene required in the scar area and that the product remains firmly in place. The ScarPad should be washed using a special soap (Juzo ScarPad Cleaning Soap). Put a couple of drops of the soap onto the ScarPad and wash it thoroughly under warm running water. After cleaning it, place it on a dry towel with the sticky side facing upwards. It is ready to be used again when it has completely dried.

Icon Scar care

Scar care
Scarred skin can be kept supple by massaging it and applying a cream every day. Hygiene is very important here: keep the scar area clean to prevent inflammation. Follow the skincare recommendations provided by your doctor.

Icon for fit

Compression garments must fit perfectly and should not be constrictive or slip. Body measurements may change due to weight gain or loss, or due to growth in children. In this case, please consult your medical retailer. They will check the fit of the garment and, if required, measure a new garment for you.

Icon Open wounds

Open wounds
Silicone sheets must never be worn on open wounds! Be sure to consult your doctor before wearing compression garments over existing wounds. If your doctor approves, compression garments may be worn on smaller wounds over a bandage or dressing. Compression can help residual defects to heal particularly quickly and without any complications.

Frequently asked questions about scar treatment and therapy

Putting on garments and ensuring the right fit

Woman with a thorax garment drinking a smoothie

Scar care

Duration of wearing; replacing garments

Washing and material care

Silicone sheets