The use of pressure garments on hypertrophic scars.

Hypertrophic scars are unsightly and can cause much distress to the sufferer. Pressure garments have been the preferred conservative management option for these scars for the last three decades. This paper reviews the history, underpinning theory and use of compression therapy in the management of hypertrophic scars particularly following burn injury. It is particularly aimed at clinicians who do not come into contact with this type of scarring frequently and are not familiar with its treatment. Other methods for managing hypertrophic scarring are also described briefly. Overall, there is a fair body of evidence to support the use of pressure garments, but it is not definitive research and further work is needed. However, the selection of any treatment must follow negotiation and agreement with the patient who will be required to continue treating their scars at home.