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We had a follow up appointment with an occupational therapist to see if Ania’s post surgery scars were getting any softer with deep tissue massage, there was absolutely no difference, no matter how often I massaged her fingers, I know deep tissue massage works for most people but apparently it’s not enough if used alone when it comes to Ania’s scars.  The occupational therapist told me Ania has Hypertrophic scars and that your genetics play a role in how badly your skin recovers from an injury, I don’t recover well at all, I have scars from the tiniest cuts, apparently Ania is the same way… I’m sad.

Finally the occupational therapist gave me a sheet of “Mepiform”, it’s $15 (Canadian) per sheet but is still much cheaper than at a drug store!  Here is a short description from a website  that sells this stuff:

Mepiform is a thin, flexible, self-adherent gel sheet that over time can help soften and flatten old and new raised, hardened, or keloid scars, making them appear smaller, lighter and less conspicuous. Clinical reports demonstrate improvements as early as 30 days.     Discreet and comfortable, it can be worn easily under clothing and during most activities, including bathing. And because each sheet of Mepiform can be worn up to 7 days or longer, as well as removed and reapplied numerous times, it is also very cost-effective.

We decided to try to use this bandage overnight at first, I cut it in three different pieces, economically I might add because this stuff is very expensive and covered her hand with a sock so she wouldn’t pull it off in her sleep.  In the morning when I took it off, I saw and felt positive difference right away, her scars were definitely a bit softer!    We’re using it all day long now, Ania hates it but the bandage with a sock on top of it doesn’t prevent her from from being her usual grabby self :)     I’ll update again soon!

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Hypertrophic scars are very protubering and raised, excessive production of granulation tissue, genetic factors are involved. Hypertrophic scars are raised, firm, erythematous scars formed as the result of overzealous collagen synthesis coupled with limited collagen lysis during the remodeling phase of wound healing. The result is the formation of thick, hyalinized collagen bundles consisting of fibroblasts and fibrocytes. Despite the obvious tissue proliferation, they tend to stay in their own boundaries and are limited to the borders of the initial injury..

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