Case Study: Facial Scars PCCA PracaSilâ„¢-Plus

A compounded medicine containing PracaSil-Plus (PCCA Formula #10649) was applied topically on facial scars (old) and an overall improvement of the facial complexion was observed following only 3 weeks.



A 22-year-old female was severely scarred on the face during a car accident in October 2009. After six plastic surgeries and the application of different products, the patient was still unsatisfied with her complexion. In March 2013, PCCA suggested a compounded medicine containing Pentoxifylline 1%, Caffeine 1% and Tranilast 1% in PracaSil-Plus topical gel (Figure 1) to be applied twice a day on the (old) facial scars (Yamada et al., 1994; Nomura et al., 2005; Isaac et al.,2009).

After 3 weeks of treatment, the patient was surprised by the softening of her skin and overall improvement of her complexion (Figures 2 and 3).

Patient Report

I have tried many products with little satisfaction. PracaSil-Plus has shown amazing results in a very short amount of time. PracaSil-Plus reduced the redness of the scars and gave my skin a more uniform look and texture. I am very happy with PracaSil-Plus and I would recommend it to everyone.


PracaSil-Plus is a proprietary anhydrous silicone base designed to be applied topically in scar therapy treatment (PCCA, 2013a). Silicones have been widely used for their occlusion and hydration properties, which are essential in scar management (Widgerow et al., 2000; Mustoe, 2008). PracaSil-Plus also contains Pracaxi oil, extracted from the oilseed plant Pentaclethra macroloba, which has several medicinal applications including skin regeneration and healing (Costa et al., 2013). PracaSil-Plus may be used alone or as a base for the incorporation of active substances in scar therapy treatment (PCCA, 2013a).

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