Why Roll-On Adhesive for Compression Garment Security

Compression garment migration—the downward slipping, rolling, or shifting of compression stockings, sleeves, and hosiery during wear—represents one of the most common compliance barriers in compression therapy, directly undermining therapeutic efficacy regardless of compression quality or appropriate prescription. When compression garments slip from their intended position, the carefully engineered graduated pressure gradient becomes disrupted, eliminating the therapeutic benefit patients need to manage venous disease, lymphedema, or edema. The It Stays! Roll-On Body Adhesive addresses this fundamental challenge through medical-grade skin adhesion technology that maintains garment positioning throughout active days without the discomfort, allergic reactions, or skin damage associated with inferior adhesive solutions.

The roll-on delivery system provides precise, controlled application directly to skin areas where compression garments typically fail—the upper thigh for thigh-high stockings, the upper arm for compression sleeves, or any area where garment bands make skin contact. Unlike spray adhesives that create messy overspray, dripping liquid adhesives requiring drying time, or tape-based solutions that pull on skin and hair, the roll-on applicator ensures clean, targeted placement with immediate tackiness. This precision prevents waste, controls costs, and enables application even for patients with limited dexterity who struggle with other adhesive formats. The gentle rolling motion distributes adhesive evenly across the intended area, creating consistent hold without the uneven patches that cause some areas to grip excessively while others fail to adhere.

For patients without silicone grip-top compression garments—either due to silicone allergy, preference for non-grip styles, or wear of older garments whose silicone bands have degraded—the It Stays! adhesive becomes essential. Many compression wearers develop contact dermatitis from silicone grip bands, experiencing redness, itching, or allergic reactions that force discontinuation of medically necessary compression. Others find silicone bands uncomfortable, constricting, or visibly prominent under clothing. The It Stays! formula provides hypoallergenic adhesion suitable for sensitive skin, enabling patients who cannot tolerate silicone to maintain compression therapy compliance. This is particularly valuable for elderly patients with fragile skin, post-radiation patients with skin sensitivity, or individuals with autoimmune conditions affecting skin integrity.

The water-washable, non-residue formula addresses practical daily-use concerns that plague traditional adhesive products. Many medical adhesives leave sticky residue on skin requiring aggressive rubbing, harsh solvents, or extensive washing to remove—processes that damage fragile skin and discourage consistent adhesive use. The It Stays! formula rinses cleanly with plain water during normal bathing, eliminating the uncomfortable stickiness that accumulates over days when residue builds up. This easy removal encourages daily washing and reapplication, promoting skin hygiene essential for patients with venous disease, lymphedema, or other conditions predisposing to skin infections. The absence of residue also protects clothing from permanent adhesive staining that ruins expensive garments and creates additional laundry challenges.

The pliable, body-moving formula represents critical innovation over rigid adhesives that create uncomfortable pulling sensations or skin irritation during normal movement. Compression therapy patients maintain active lifestyles—walking, bending, sitting, standing, exercising—requiring adhesive that flexes with natural skin movement rather than creating tension points. The It Stays! formulation moves with the body while maintaining secure hold, preventing the skin pulling and discomfort that causes patients to remove compression prematurely. This flexibility is essential for all-day wear, particularly for patients requiring compression 12-16 hours daily as prescribed for venous insufficiency, post-thrombotic syndrome, or lymphedema management.

Key Features & Benefits

Roll-On Precision Application

• Clean, controlled delivery directly to intended skin areas
• No messy overspray, drips, or excessive product waste
• Targeted placement where garment bands contact skin
• Easy application even for patients with limited hand dexterity
• Immediate tackiness—no waiting for drying time
• Ergonomic bottle design comfortable to hold and maneuver
• Precise application prevents product waste and controls costs

Gentle Hypoallergenic Formula

• Specifically designed for sensitive skin applications
• Medical-grade adhesive safe for prolonged skin contact
• Suitable for patients with silicone allergies or sensitivities
• Non-irritating for elderly patients with fragile skin
• Appropriate for post-radiation skin requiring gentle products
• Reduces allergic reaction risk compared to standard adhesives
• Dermatologically tested for skin compatibility

Water-Washable, No-Residue Technology

• Rinses completely with plain water during normal bathing
• No harsh solvents, vigorous rubbing, or special removers needed
• Eliminates uncomfortable sticky residue buildup
• Protects clothing from permanent adhesive staining
• Encourages daily washing and reapplication for skin hygiene
• Simple removal promotes consistent use and compliance
• Gentle on skin during removal process

Pliable Body-Moving Adhesion

• Flexes with natural skin movement during activities
• Maintains secure hold without rigid pulling sensation
• Comfortable for extended 12-16 hour daily wear
• Accommodates bending, sitting, standing, walking, exercise
• Reduces skin irritation from tension points
• Moves naturally with body throughout active day
• Essential for all-day compression therapy compliance

Versatile Compression Garment Compatibility

• Works with all compression stocking styles and brands
• Effective for knee-high, thigh-high, and pantyhose lengths
• Secures compression arm sleeves and gauntlets
• Compatible with compression leggings and body garments
• Holds garments without silicone grip tops in place
• Extends life of older garments with degraded grip bands
• Universal solution for various compression products

Portable 60ml / 2oz Size

• Convenient for daily home use and travel
• TSA-compliant size for air travel carry-on
• Fits easily in purse, bag, or luggage
• Sufficient quantity for regular use (typically 2-3 months)
• Compact bottle doesn't require significant storage space
• Ideal for maintaining compression therapy during travel
• Cost-effective size balances quantity and portability

Silicone Band Alternative

• Essential solution for silicone-allergic patients
• Enables compression therapy for silicone-intolerant individuals
• More comfortable than constricting grip bands for some patients
• Less visible under clothing than prominent silicone bands
• Provides hold without potential silicone band pressure marks
• Extends garment options to non-grip-top styles
• Breathable—doesn't create moisture trap like silicone

Garter Belt / Suspender Alternative

• Modern, discreet alternative to traditional garter belts
• More comfortable than hardware and straps
• Less visible under clothing than belt systems
• Easier to use for elderly or mobility-limited patients
• No bulky hardware creating clothing lines
• Eliminates garter belt skin irritation or pressure points
• Appropriate for contemporary lifestyle and clothing styles

Clinical Applications

Appropriate for securing compression garments in patients with: ✓ Thigh-high compression stockings without grip tops ✓ Thigh-high stockings with degraded or worn-out silicone bands ✓ Silicone allergy or contact dermatitis from grip bands ✓ Sensitive skin intolerant of silicone band pressure ✓ Compression arm sleeves requiring additional hold ✓ Knee-high stockings that slide down during activity ✓ Elderly patients with fragile skin unable to tolerate silicone ✓ Post-radiation patients with sensitive tissue ✓ Active individuals requiring secure hold during exercise or work ✓ Patients preferring non-grip-top compression garment styles ✓ Bariatric patients needing extra security on larger thighs ✓ Individuals with leg shape changes throughout day ✓ Travel situations requiring reliable compression hold ✓ Pregnancy-related compression requiring adjustable hold ✓ Occupational settings requiring secure all-day compression ✓ Athletic activities needing compression garment stability

Role in Compression Therapy Compliance: It Stays! adhesive serves essential function in maintaining therapeutic efficacy:

• Garment Positioning: Maintains proper graduated compression gradient
• Compliance Enhancement: Reduces frustration from constant readjustment
• Therapeutic Efficacy: Ensures compression delivers intended medical benefit
• Patient Satisfaction: Improves overall compression therapy experience
• Accessibility: Enables compression for silicone-intolerant patients

Important Clinical Considerations: While It Stays! adhesive enhances garment hold, it does not replace proper compression garment fitting and sizing. Garments that consistently slip despite adhesive use may indicate incorrect size selection requiring professional reassessment. Patients should continue following prescribed compression therapy protocols including proper garment application, daily wear schedules, skin care, and regular monitoring. Adhesive is adjunct to compression therapy, not replacement for appropriate garment selection and medical supervision.

When Adhesive May Be Particularly Beneficial:

• Garments without built-in grip technology
• Patients physically active during compression wear
• Silicone band allergy or intolerance
• Warm, humid climates causing perspiration-related slipping
• Leg or arm shape variations affecting garment fit
• Elderly or mobility-limited unable to frequently readjust garments
• Professional settings where visible readjustment inappropriate

Usage & Application

For Enhancing Compression Garment Hold Under Healthcare Provider or Lymphedema Therapist Guidance: It Stays! Roll-On Body Adhesive provides additional security for compression garments. Use as directed in conjunction with prescribed compression therapy protocols and proper garment fitting.

Initial Application Guidelines

1. Skin Preparation:
   • Ensure skin is clean, dry, and completely free of lotions, oils, or moisture
   • Wash application area with mild soap and water if needed
   • Pat completely dry with clean towel
   • Wait 10-15 minutes after bathing before application
   • Do NOT apply moisturizer before adhesive (defeats adhesion)
2. Timing of Application:
   • Apply adhesive immediately before putting on compression garment
   • Allow 30-60 seconds after application before donning garment
   • Adhesive becomes immediately tacky upon application
   • Best applied in morning when compression garments typically donned
3. Application Area Selection:
   • Thigh-High Stockings: Apply to upper thigh where garment top sits
   • Compression Sleeves: Apply to upper arm where sleeve top sits
   • Knee-High Stockings (if slipping): Apply to upper calf below knee
   • Identify specific area where garment makes contact and tends to slip
   • Apply only to areas where garment band or top will directly contact

Step-by-Step Application Technique

1. Shake Bottle:
   • Shake It Stays! bottle gently before each use
   • Ensures even distribution of adhesive formula
   • Mixes any settled components
2. Roll-On Application:
   • Remove cap from roll-on applicator
   • Hold bottle upright with roller ball at bottom
   • Apply directly to clean, dry skin in intended area
   • Use smooth, even rolling motions to distribute adhesive
   • Cover entire area where garment band will contact (typically 2-4 inch band)
   • Apply thin, even layer—excess does not improve hold
   • Avoid over-application (wastes product, feels uncomfortable)
3. Application Pattern:
   • Roll horizontally around circumference of limb
   • Ensure complete coverage in contact band area
   • No need to apply adhesive to entire leg—only contact zones
   • For thigh-high: 2-4 inch band around upper thigh
   • For arm sleeve: 2-4 inch band around upper arm
4. Brief Wait Time:
   • Wait 30-60 seconds after application
   • Adhesive becomes fully tacky during brief wait
   • No extended drying time required
   • Proceed to garment application when tacky to touch
5. Compression Garment Application:
   • Apply compression garment using normal technique
   • Position garment band directly over adhesive area
   • Smooth garment into place ensuring good contact
   • Press garment gently against adhesive for 5-10 seconds
   • Verify garment feels secure and positioned correctly

Daily Use Protocol

• Morning Application: Apply fresh adhesive each morning when donning compression
• Single Daily Application: Typically sufficient for all-day hold (12-16 hours)
• Reapplication if Needed: Can reapply if garment removed mid-day and redonned
• Evening Removal: Remove compression garment and wash adhesive off skin
• Skin Inspection: Check skin daily after adhesive/garment removal
• Consistent Use: Daily application provides reliable compression hold

Removal and Skin Care

1. Evening Garment Removal:
   • Remove compression garment using normal technique
   • Adhesive remains on skin after garment removal
2. Adhesive Removal:
   • Simply wash skin with plain lukewarm water
   • Gentle soap optional but not required
   • Light rubbing with washcloth or hands removes adhesive completely
   • No harsh solvents, removers, or aggressive scrubbing needed
   • Rinses cleanly without sticky residue
3. Post-Removal Skin Care:
   • Pat skin dry after washing
   • Inspect adhesive application area for any redness or irritation
   • Apply moisturizer if desired AFTER adhesive removal
   • Allow skin to breathe overnight before next day's application
4. Skin Monitoring:
   • Check for any signs of irritation or allergic reaction
   • Discontinue use if persistent redness, itching, or rash develops
   • Contact healthcare provider about concerning skin changes

Special Application Scenarios

For Sensitive Skin:

• Start with very thin layer to test skin tolerance
• Monitor closely for any irritation first few uses
• Reduce application area if excessive adhesion uncomfortable
• Discontinue if skin reaction develops despite gentle use

For Very Active Lifestyles:

• May need slightly more generous application for high-activity days
• Reapply if garments removed and redonned during day
• Check garment security mid-day during initial use
• Adjust application thickness based on hold needs

For Warm, Humid Conditions:

• Ensure skin extra dry before application in hot weather
• Perspiration can reduce adhesive effectiveness
• May need to carry bottle for potential mid-day reapplication
• Consider applying slightly more in summer months

For Bariatric Patients:

• May require more extensive application area on larger thighs
• Ensure complete coverage where garment contacts skin
• May need two bottles in rotation for adequate supply
• Professional fitting to ensure garment size appropriate

For Arm Compression Sleeves:

• Apply to upper arm in 2-4 inch band
• Ensure complete circumferential coverage
• Arm movement may require generous application
• Monitor hold during arm activities and adjust as needed

Storage and Handling

• Storage Location: Room temperature, away from extreme heat or cold
• Cap Replacement: Always replace cap after use to prevent drying
• Upright Storage: Store bottle upright when possible
• Shelf Life: Check expiration date; typical shelf life 2-3 years unopened
• Travel: Secure cap tightly, place in sealed bag for air travel
• Contamination Prevention: Clean roller ball if it contacts dirty surfaces

Troubleshooting Common Issues

1. Insufficient Hold / Garment Still Slips:
   • Ensure skin completely dry before application
   • Apply slightly more adhesive for better coverage
   • Verify garment correct size (slipping may indicate sizing issue)
   • Check that adhesive not expired or dried out
   • Consider professional garment fitting reassessment
2. Adhesive Feels Uncomfortable:
   • May have applied too much—use thinner layer
   • Ensure even distribution without clumps
   • Try reducing application area slightly
   • Verify no skin sensitivity to formula
3. Skin Irritation or Redness:
   • Discontinue use immediately
   • Wash area thoroughly with mild soap and water
   • Apply hypoallergenic moisturizer to soothe
   • Contact healthcare provider if irritation persists
   • May indicate allergic reaction requiring alternative solution
4. Adhesive Difficult to Remove:
   • Use warmer water for easier removal
   • Gentle soap may help if plain water insufficient
   • Avoid harsh scrubbing—be patient with gentle washing
   • Should remove easily with normal washing if formula genuine
5. Roller Ball Doesn't Dispense Product:
   • Shake bottle to mix formula
   • Check if product has dried out or is empty
   • Clean roller ball if clogged
   • Store upright to keep formula at ball
6. Adhesive Dries Out in Bottle:
   • Always replace cap immediately after use
   • Ensure cap properly seated and tight
   • Store away from heat sources
   • Use within reasonable timeframe once opened

WHEN TO CONTACT HEALTHCARE PROVIDER

Urgent - Contact Provider:

• Persistent skin irritation or rash from adhesive
• Allergic reaction symptoms (severe redness, swelling, blistering)
• Skin breakdown at adhesive application site
• Severe discomfort from adhesive use

Routine - Discuss at Next Appointment:

• Questions about proper adhesive application technique
• Garment still slipping despite adhesive use (sizing issue)
• Difficulty with removal process
• General questions about adhesive use in compression therapy
• Preference for alternative securing methods

Product Specifications

Product Information

• Product Name: It Stays! Roll-On Body Adhesive
• Brand: Sigvaris
• Size: 60ml / 2 fluid ounces
• Format: Roll-on applicator bottle
• Application Method: Topical roll-on to skin
• Primary Use: Securing compression garments against skin

Formula Characteristics

• Adhesive Type: Medical-grade body adhesive
• Consistency: Smooth, pliable liquid
• Tackiness: Immediate upon application
• Flexibility: Moves with body movement
• Hypoallergenic: Designed for sensitive skin
• Dermatologically Tested: Safe for prolonged skin contact
• Fragrance: Minimal to none
• Color: Clear to slightly opaque

Removal Properties

• Water-Washable: Rinses with plain water
• Removal Method: Normal bathing or washing
• Residue: None when properly removed
• Solvents Required: None—water sufficient
• Skin Gentleness: Gentle removal without pulling or irritation

Performance Characteristics

• Hold Duration: All-day (12-16 hours typical)
• Reapplication: Daily application recommended
• Moisture Resistance: Moderate—works despite light perspiration
• Temperature Range: Room temperature to body heat
• Activity Compatibility: Suitable for normal daily activities
• Garment Compatibility: All compression garment types

Safety and Quality

• Hypoallergenic Formulation: Suitable for sensitive skin
• Latex-Free: No latex components
• Silicone-Free: Alternative to silicone grip bands
• Dermatological Testing: Safety tested
• Medical Device Classification: Medical accessory product
• Quality Control: Manufactured to quality standards

Packaging and Sizing

• Bottle Size: 60ml / 2 oz
• Bottle Type: Roll-on applicator
• Cap: Secure screw cap prevents drying
• Portability: TSA-compliant for air travel
• Dimensions: Compact, fits in bag or purse easily
• Weight: Lightweight for travel

Usage Quantities

• Typical Duration: 2-3 months daily use (varies by application area)
• Application Amount: Thin layer covers 2-4 inch band
• Cost Efficiency: One bottle serves extended period
• Replacement Frequency: As needed when empty

Storage Requirements

• Temperature: Room temperature (avoid extreme heat/cold)
• Position: Upright storage preferred
• Protection: Keep cap tightly closed when not in use
• Shelf Life: Check expiration date (typically 2-3 years unopened)
• Opened Product: Use within reasonable timeframe once opened

Regulatory Information

• Manufacturer: Sigvaris
• Country of Origin: Check product labeling
• Medical Device Status: Compression therapy accessory
• Quality Standards: Manufactured to medical product standards

Environmental and Disposal

• Disposal: Follow local regulations for cosmetic/medical product disposal
• Recyclability: Check local recycling guidelines for packaging
• Environmental Considerations: Use as directed to avoid waste

Patient Selection Criteria

Ideal Candidates for It Stays! Adhesive

• Compression garment wearers experiencing slipping or migration
• Patients with thigh-high stockings without silicone grip tops
• Individuals allergic or sensitive to silicone grip bands
• Compression sleeve users requiring additional upper arm hold
• Active individuals needing secure hold during exercise or work
• Elderly patients with fragile skin sensitive to silicone
• Post-radiation patients with sensitive skin
• Bariatric patients needing extra security on larger limbs
• Travelers requiring reliable compression garment hold
• Patients with older garments having degraded grip bands
• Those preferring garter belt/suspender alternatives
• Individuals in warm climates experiencing perspiration-related slipping
• Patients with limb shape variations affecting garment fit
• Compression therapy patients prioritizing comfort and discretion

Contraindications and Cautions

• Known Allergy: To adhesive components (test small area first if uncertain)
• Open Wounds: Do not apply to broken skin, wounds, or active infections
• Severe Dermatitis: Avoid during active skin condition flares
• Recent Radiation: Consult physician before use on recently irradiated skin
• Severe Skin Fragility: May not be appropriate for extremely fragile tissue

When Adhesive May Not Be Necessary

• Compression garments with functioning silicone grip tops
• Properly fitted garments that stay in place without assistance
• Patients without slipping issues
• Individuals comfortable with garter belt systems
• Short-duration compression wear where slipping not problematic

Special Populations

• Elderly: Excellent option for fragile skin unable to tolerate silicone
• Diabetic Patients: Monitor skin carefully, discontinue if any issues
• Lymphedema Patients: Helpful for securing compression sleeves during therapy
• Pregnant Patients: Safe for use with maternity compression garments
• Athletic Individuals: Essential for maintaining compression during sports/exercise
• Professional Settings: Discreet solution for workplace compression needs

Insurance and Reimbursement

Coverage Information

• Insurance Coverage: Typically NOT covered as separate accessory item
• Out-of-Pocket Purchase: Usually purchased directly by patient
• FSA/HSA Eligible: May qualify as medical expense with proper documentation
• Cost Range: Reasonably priced accessory product (check current retail)
• Value: Extended use (2-3 months) provides good cost-per-use ratio

Cost Considerations

• Direct Purchase: Available through medical supply retailers
• Online Availability: Sigvaris website and authorized retailers
• Pharmacy Stock: Some pharmacies carry in compression section
• Bulk Purchase: Consider multiple bottles if using long-term
• Cost-Effectiveness: Extends garment life, improves therapy compliance

Retail Availability

• Sigvaris authorized retailers
• Medical supply stores
• Online medical supply websites
• Some pharmacies (compression garment sections)
• Directly from healthcare providers or compression fitters

Cost-Benefit Analysis

• Therapy Compliance: Improved compliance may prevent costly complications
• Garment Longevity: Reduces need for frequent garment replacement
• Comfort Investment: Enhanced comfort encourages consistent compression use
• Lifestyle Maintenance: Enables active lifestyle while maintaining therapy
• Medical Cost Avoidance: Better compression compliance prevents venous disease progression