Rehabilitation of burn scars and scars caused by other forms of trauma using pressure therapy with elastic compression garments is widely acknowledged to be effective, non-invasive, and safe. With the proper measurements and appropriate features and options, your patient can benefit from compression therapy. Lymphedema and other vascular patients, too, can management their conditions with the use of specially designed custom compression garments.

• Custom-Made Garments for the Head and Neck

Full Face Mask	Open-face Face Mask	Regular Chin Strap	Chin Strap with Lip Place	Head Band

• Hair protectors cover the ear openings
• Holes can be cut in the garment to allow for ponytails and pigtails
• Ears may be exposed or covered. The ear holes may look like slots, but when stretched the areas become circular to fit the ear.
• Although hook & loop fasteners are more frequently used, zippers can be used instead. The cross-seams on the scalp give a roundness to the contours of the garment.
• Lining material can be inserted at the chin or crown.
• Material cut in a V-shape can serve as a nose bridge.
• Hook & loop tabs can be used to attach the face garments to a vest.
• Collars may be attached to chin straps and face masks to provide extra comfort for sensitive areas.

Foam Collar	Pillow Collar	Trach Collar

Important!
Custom-made pressure garments provide that constant, even pressure necessary to aid in preventing hypertrophic scarring and disfigurement. To be effective, the garments should be worn 24 hours a day, every day, until the scar tissue is mature, usually 9-14 months post-burn. A pressure garment maintains effective pressure for 2-3 months and then must be replaced. Alternating between several garments will aid in lengthening the life of the garments, although, in some cases of weight change, or spurts of rapid growth in children, more frequent re-measurement and replacement may be necessary.

• Custom-Made Garments for the Hand

Gauntlet to Wrist	Glove to Wrist	Mitten to Wrist

• Expansion panels made of insert material can be used instead of zippers for glove closures.
• Pockets for inserting additional pressure material can be sewn on either the palmar or dorsal side, using lining material.
• Web spacers are fitted on the underside and in between the fingers of the glove. Softer insert material can be used across the metacarpophalangeal joints to reduce abrasion.
• The glove can be made a part of the sleeve.
• Gloves for toddlers may be made of close-knit material on the palmar surface, and insert material dorsally.
• Garments can be made to cover just the thumb and index finger. Inserts can be placed in the thumb web space especially if that area is unburned. Darts can be sewn in the area of the thenar eminence to pull the thumb into opposition. A similar procedure can be used for little fingers, but sometimes just twisting the material can accomplish the same purpose.

• Garments for the Upper Extremities

Wrist to Elbow Sleeve	Elbow to Axilla Sleeve	Wrist to Axilla Sleeve	Gauntlet to Elbow	Gauntlet to Axilla	Glove to Elbow	Glove to Axilla

• Custom-Made Garments Shoulder Flaps for Upper Extremity Garments

Shoulder Flap Regular Male	Shoulder Flap Regular Female	Shoulder Flap Strap Male	Shoulder Flap Strap Female	Shoulder Flap Strap Child	Shoulder Flap Belt

Note: Shoulder flaps are often needed to hold up the glove to axilla, gauntlet to axilla, and sleeve to axilla garments.
• Gussets in the axillary area help prevent abrasion of this sensitive area.
• Gussets are preferred over linings.
• If one arm is unburned, a short sleeve over the upper arm is preferable to a sleeveless garment that tends to rub or dig in.
Sleeves can also have built-in pads. If the elbow needs additional protection or pressure, a built-in pad can be useful. For women, a strap or loop can be attached to a bra if only one sleeve is needed.

• Garments for the Lower Extremities

Anklet	Stocking to Knee	Stocking to Thigh	Stocking to Knee No Foot	Stocking to Thigh No Foot	Stocking Knee to Thigh

• Zippers are optional for lower extremity garments
• If donning the garment over the foot is particularly difficult for the patient, a heel insert or a full-length insert panel along the side of one or both legs may be used instead of a zipper.

• Custom-Made Garments Briefs, Suits and Vests

Sleeveless Body Brief	Sleeveless Suit to Above Knee	Sleeved Suit to Above Knee	Sleeveless Suit to Toe or Ankle	Sleeved Suit to Toe or Ankle	Sleeveless Vest	Sleeved Vest	Sternal Strap	Belly Band

• Gussets in the axillae help prevent abrasion to this sensitive area (gussets are better than linings at abrasion control).
• Insert material can extend the entire length of a sleeve from armpit to wrist, or from wrist to waist in one continuous piece.
• Pads can be built in to sleeve elbows or other sensitive areas.
• Zippers are optional for lower extremity garments.
• Vest and suit necklines can be standard, scooped, V-neck, or turtleneck. A scooped neckline on an adult garment extends 3 inches below the sternal notch unless a larger neckline is requested. The V-neck can be as deep as 5 - 6 inches. Turtlenecks extend up from the sternal notch either 1, 1½, 2, 2½, or 3 inches and may have a separate hook & loop closure.
• If the burn is limited to the abdomen and waist, a tank top combined with a brief can be designed. This combination would allow the patient to wear normal clothes.
• If donning the garment over the foot is particularly difficult for the patient, a heel insert or a full-length insert panel along the side of one or both legs may be used instead of a zipper.
• The metatarsal heads is the best place to end a full-length leotard.
• Leotards and briefs can be designed with an open crotch.

• Custom-Made Garments for the Foot

Foot Gauntlet	Foot Mitten	Foot Glove

• Pockets for inserting additional pressure material can be sewn on dorsal side, using lining material.
• Where donning the garment over the foot is particularly difficult, a heel insert or a full-length insert panel along the side of one/both legs may he used instead of a zipper. The additional stretch of the material may allow the patient to pull on the garment without zippers.
• Foot mittens with no seams on the soles are recommended. They may be made of lining material to minimize friction and shearing.

• Custom-Made Pressure Garment Accessories

• Fully lined garment
• Zipper (any length)
• Reinforcements (heel, knee. etc..)
• Abdominal reinforcement (double panel)
• Stretch insert (knee, elbow, thumb, etc.)
• Expansion panel (any length)
• Hook & loop tab sets
• Reinforce set of hook & loop tabs
• Suspenders (attached)
• Suspenders (removable)
• Linings, pockest, foam pads, etc.
• Pocket & pad combination
• Suede/leather gripper set
• Hook & loop or snap closure (any length)
• Two or more fabric colors in same garment
• Elective alterations plus any added items

30-Day Warranty:
Alterations or Replacements due to Defects in Materials, Workmanship, or Design