Safe and Effective Compounding for Scarring and Keloids
Compounding allows every patient to have a personalized treatment plan and methodology for their scarring. From removing irritants, to choosing one sole treatment, or creating a combination of solutions, our pharmacists are trained to tailor treatments for patients who have lost hope in all other solutions.

What is a Scar?
A scar typically forms during the healing process of an injury and is a tissue growth that is thicker than normal skin. Scars may be discolored to a red or brown color; however, scarring can be prevented by proper injury treatment and wound care.

Types of Scars
Flat Scars (cicatrix): While most scars are raised from the skin, flat scars are only raised ever so slightly. They often have a light pink or red hue to them and may become itchy or painful. Flat scars can go away on their own as sometimes they recolor and blend back into their surroundings.

Raised Scars (hypertrophic scar): Tissue in raised scars protrudes from the skin and tends to cause discomfort or inflammation; said pain could even restrict movements depending on the placement of the scar. Raised scars primarily form on the upper body in areas such as the shoulders, back, chest, and arms.

Depressed Scars (atrophic scar): Depressed scars do not protrude the top layer of the skin; they are mainly noticeable only by skin discolorations. These scars tend to form due to previous skin conditions such as acne, eczema, or even illnesses such as chickenpox. Skin discolorations due to a depressed scar or scars can become more apparent with age as the pigmentation grows.

Before After

Keloids: Keloids are a second form of raised scars that form when an injury heals unconventionally and results due to tissue overgrowths. Keloids are not an example of a curable skin condition, and it is impossible for them to self-resolve without additional treatment.

Contracture Scars: This is any type of scar that forms in a mobility area of the body; contracture scars often result in restricted movement due to placement. Burns to the skin, either moderate or severe, are the leading cause of contracture scars.

Stretch Marks (striae): Stretch marks are formed when the connective tissue in the body is torn or broken. In the beginning, stretch marks are usually darker pigmented colors such as red, brown, or purple; however, over time, they can lighten to a silverish-white color. The most common time stretch marks form is during or after pregnancy or extreme weight fluctuations.

Scarring is the result of collagen imbalances during production and decomposition in the body. Treatment and healing may vary from case to case based on both internal and external factors that impact each patient.

Internal Factors Include:

    • Immune stability
    • Vitamin consumption
    • Preexisting medical condtions such as diabetes
    • Hormone growth
    • Cellular matric efficiency rate

External Factors Include:

    • Scar size
    • Scar depth
    • Injury stability
    • Situation of infection
    • Position on one’s body

Treating Scarring and Keloids
It is important to note that not all scars can be fully treated,, and treatment failure is a possibility; patients are advised to set realistic expectations when beginning and completing scar treatment. Imperfections such as keloids or depressed scars do not fade on their own and require treatment to entirely remove them from one’s body. On the other hand, many scars fade naturally over time and do not need medication or treatment to do so. Some positive effects of treatment may be alleviating discomfort, allowing more mobility, and decreasing the visibility of scarring.

Treatment Options Include:

  • Pressure Therapy: Applying pressure in the beginning can prevent or significantly reduce scarring. Some ways to apply pressure may be a bandage, stocking, or by hand.
  • 5-FU Injections: These are injections directly to the scar that can flatten or altogether remove scarring as well as discomfort and irritation. Treatment can take longer with this method as dosages are given every week for as long as 16 weeks time.
  • Polyurethane Dressing: Somewhat like pressure therapy, a flexible pad is worn and typically topped with a pressure-applying garment.
  • Cryosurgery: Cryosurgery is primarily used to decrease the size of scars, and the discomfort levels felt. It can also relieve other symptoms such as discoloration, inflammation, swelling, and itching. Cryosurgery is known to reduce scar sizing but up to 50%, and it may also be used in combination with other treatments, such as corticosteroids.
  • Radiation Therapy: Radiation therapy is mainly used for keloids and raised scars to help reduce size, itch, and irritation. It is important to note that radiation therapy is linked to a higher cancer risk; it may also have other side affects such as, swelling, itching, and discoloration.
  • Vitamin E Cream: Vitamin E is a topical cream that is applied to the scared area. This treatment method may take more time than others, compaitevly speaking, and is known to reduce the discolered and raised appearance of scars or keloids-Scar Surgery: This is a surgical procedure that is used to reduce scar size when all other treatments have not been effective. This surgery is most times paired with corticosteroid injections to serve the mot efficient and best results.
  • Laser and Light Treatments: Otherwise known as another form of radiation treatment lasers and lights help to prevent the potential formation of keloids and raised or protruding scars. Laser treatment is also primarily used in conjunction with the corticosteroid injections or other treatment methods. Laser treatment can also help to relieve other symptoms such as pain, discomfort, size, mobility restrictions, swelling, and recurrence potential.
  • Silicone Gel: Silicone gel treatments come in both ointment form, or in the form of sheets. This is helpful in reducing irritation, inflammation, swelling, and roughness or scars. It is typically used after a surgical procedure to help prevent the potential of raised scars from developing.
  • Microneedling: This practice entails repetitive insertion of tiny needles into one’s skin surrounding scar tissue. The needles help to stimulate collagen production in the body which can diminish the appearance of scars, particularly depressed scars.
  • Massage: Massages are advised to patients as they help to stimulate skin tissue and can help improve scarring outcomes as a whole. It is important to note that age, skin type, scar type, and patient preferences can help determine what kind of massages may be beneficial if any massages at all.
  • Corticosteroid Injections: This treatment is effective with multiple sessions where corticosteroids are injected directly into the scar tissue. Treatment may help mitigate pain, discomfort, and swelling; and can reduce a scars size by up to 50%. On the other side some side effects of corticosteroid injections can be scar re-formation, skin thinning, or discolored spots forming.

Topical Therapies
Keeping one’s skin hydrated and regularly moisturized can help to prevent potential scars from forming. A good place to start is to recognize that almost any treatment or ingredient that creates a protective barrier on the tissue can be productive as it can lock in moisture on the skin’s surface to help protect tissue. There are various methods of topical scar treatment and a majority of them or accessible over the counter rather than needing a prescription.

Common Ingredients Include:

  • Vitamin E: Creams, oils, gels, and ointments containing vitamin e are some of the most commonly used treatment methods for scarring and reducing identifiable attributes. From another perspective, vitamin e has been seen to potentially slow the healing of the skin’s tissue and can even worsen scar appearance.
  • Silicone: Most commonly used by burn patients, silicone aids in improving the appearance of scar tissue. Patients are advised to apply silicone gel when the affected area is becoming dry, and the minimum use should be twice a day. Treatment may give relief instantaneously; however, relief is most commonly seen up to a few months after treatment
  • Pracasil Silicone Gel: This is a form of silicone gel that has many positive effects on scar tissue and offers productive results. Some positive benefits pracasil gel may give are antioxidants and anti-inflammatories, it also helps to create a strong barrier on the skin to keep it hydrated.
  • Honey: Honey has been shown to improve scar appearance and also speed up the healing process of the affected tissue.
  • Onion Extract: This is a form of topical treatment that helps smoothen rough scar textures and reduces noticeable discolorations or bumps.
  • Salicylic Acid: Salicylic acid has been shown to help reduce symptoms of mature or previously formed scars or keloids. It accomplishes relief by removing dead skin cells and it is advised to be accompanied by moisturizer to protect the skin as it heals.
  • Glycolic Acids: This helps to remove dead skin cells of off darker scars, and is often used in the form of an acid peel.
  • Retinol: Much like salicylic acid, retinol works to kill off dead skin cells and remove the top layer of skin by exfoliation.

Featured Solution: Pracasil Silicone Gel

PracaSil-Plus is a special topical form of silicone gel that can be used solely or in combination with other treatments to give the most efficient and effective results for scar tissue restoration. PracaSil-Plus, unlike many treatments, do not scar specific, rather it helps resolve and relieve all types of scars whether surgical scars, old scars, new scars, keloids, acne scars, or any other form of scarring. PracaSil-Plus is an ideal treatment for all kinds of practices such as OB/GYN’s, orthopedics, weight loss practices, and all forms of surgery centers.


Before After
Before After
Before After

Compounded Solutions
Pharmacy Solutions tailor customizable compounds for every patient with every kind of scar. Patients are evaluated for what form of treatment will be most effective for them, oftentimes being the formulated PracaSil-Plus, and then steps are put into place to move forward with treatment make progress in the healing process.


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Pharmacy Solutions
1921 W Pioneer Pkwy,
Arlington, TX 76013



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