Silicone Sheeting for Scar Reduction

Thomas C. McFadden, Jr., MD

2/1/2024

Silicone scar sheets are a popular and effective SCAR TREATMENT OPTION  for managing various types of scars. These self-adhesive, washable, and reusable sheets are made from medical-grade silicone and are designed to improve the appearance of both new scars and old scars. The use of silicone in scar management dates back to the 1980s, when researchers discovered its potential for scar reduction through occlusion and hydration of the scar tissue.

Types of Scars Addressed by Silicone Sheets

Silicone scar sheets are suitable for treating a wide range of scars, including:

  • Hypertrophic scars: Raised, red, and often itchy scars that form within the boundaries of the original wound.
  • Keloid scars: Similar to hypertrophic scars, but they extend beyond the boundaries of the original wound and can continue to grow over time.
  • Post-surgical scars: Scars resulting from various surgical procedures, such as c-section scars, surgery scars, and tummy tuck incisions.
  • Burn scars: Scars resulting from burns, which can vary in severity and appearance.
  • ACNE SCARS: Scarring caused by severe acne, characterized by pits or raised tissue on the skin.

How Silicone Scar Sheets Work

Silicone scar sheets work by creating a protective barrier over the scar, providing occlusion and hydration to the scar tissue. This moist environment promotes the regulation of collagen production, which is essential for proper wound healing and scar formation. Furthermore, silicone has been shown to normalize pigmentation and improve the overall appearance of scars.

Benefits

Silicone scar sheets offer several advantages over other scar treatment methods:

  • Evidence-based effectiveness: Numerous studies and clinical trials have demonstrated the effectiveness of silicone scar sheets in reducing the size, color, and texture of various types of scars, including keloid scars and hypertrophic scars.
  • Minimizing pain, itching, and discomfort: Silicone scar sheets can help alleviate the discomfort often associated with healing scars by providing a protective, occlusive barrier.
  • Suitable for all skin types: Silicone scar sheets are gentle on the skin and can be used by individuals with sensitive skin or allergies to other topical treatments.

Step-by-Step Guide to Using Silicone Scar Sheets

  • When to start: Begin using silicone scar sheets as soon as the wound has closed, and stitches or staples have been removed.
  • Application: Clean and dry the scar area, then apply the scar removal sheet or scar tape directly onto the scar. Ensure the sheet covers the entire scar, with at least a 1/2-inch margin around the edges.
  • Duration of treatment: Wear the silicone sheet for a minimum of 12 hours per day, gradually increasing the duration to 24 hours if tolerated. Treatment typically lasts 2-4 months, depending on the scar’s age and severity.
  • Maintenance: Wash the silicone sheet daily with mild soap and water, then allow it to air dry before reapplying.

Side Effects and Precautions

Silicone scar sheets are generally safe, with minimal side effects. However, some individuals may experience skin irritation or an allergic reaction. Discontinue use and consult a healthcare professional if redness, swelling, or increased pain occurs.

Popular Silicone Scar Sheet Brands

Several leading brands offer silicone scar sheets and related products, such as ScarAway, Mederma, and Cica-Care. Factors to consider when choosing a product include:

  • Size and shape: Select a product that fits the size and shape of your scar. Brands offer various sizes and shapes, including clear silicone scar sheets, silicone scar strips, and silicone tape.
  • Comfort: Choose a product made from soft silicone that is comfortable and flexible, allowing you to move freely while wearing it.
  • Price and accessibility: Compare prices and availability across brands. Some products may be available at local drugstores, while others can be found online. You may want to checkout multiple options to find the best fit for your budget and needs.

Frequently Asked Questions

Are silicone scar sheets safe for sensitive skin?

Yes, silicone scar sheets are generally safe for individuals with sensitive skin. They are made from medical-grade silicone, which is gentle and non-irritating. However, if you experience any discomfort or skin reactions, discontinue use and consult a healthcare professional.


Can silicone scar sheets be used on old scars?

Silicone scar sheets can be used on both new and old scars. They may be more effective on newer scars, but older scars can still benefit from treatment. Results may vary depending on the age and severity of the scar.


How long do silicone scar sheets take to show results?

Results vary depending on the individual and the type of scar. Some people may notice improvements within a few weeks, while others may require several months of treatment. For best results, consistently use silicone scar sheets as directed for at least 2-4 months.


Are silicone scar sheets reusable?

Yes, silicone scar sheets are reusable. They can be washed daily with mild soap and water, then allowed to air dry before reapplying. Most silicone scar sheets can be used for several weeks before needing replacement.


Do silicone scar sheets work on all types of scars?

Silicone scar sheets have been proven effective for various types of scars, including hypertrophic scars, keloid scars, post-surgical scars, burn scars, and acne scars. However, results may vary depending on the severity and age of the scar.


How often should I replace my silicone scar sheet?

Most silicone scar sheets can be used for several weeks before needing replacement. Replace the sheet when it no longer adheres properly to the skin or if it becomes damaged or overly worn.


Can I wear makeup over a silicone scar sheet?

It is not recommended to wear makeup directly over a silicone scar sheet, as this may interfere with the sheet’s occlusive properties and effectiveness. Apply makeup around the edges of the sheet, or remove the sheet temporarily when applying makeup to the scar area.


Are silicone scar sheets waterproof?

Silicone scar sheets are water-resistant, but not entirely waterproof. They can withstand some moisture, such as sweat or light rain, but should not be submerged in water. Remove the sheet before showering or swimming, then reapply once the skin is clean and dry.


Can I exercise while wearing a silicone scar sheet?

Yes, you can exercise while wearing a silicone scar sheet. The sheets are designed to be flexible and comfortable, allowing for a full range of motion. However, if the sheet becomes loose or dislodged during physical activity, reapply it or replace it as needed.


Is it normal for my scar to change color while using silicone scar sheets?

It is normal for scars to change color as they heal and mature. Silicone scar sheets can help normalize pigmentation and improve the overall appearance of scars. If you notice any unusual changes in your scar, consult a healthcare professional.


In Conclusion

Silicone scar sheets are a proven and effective method for managing various types of scars, including surgery scars, burn scars, and keloid scars. These self-adhesive, washable, and reusable sheets made from medical-grade silicone offer numerous benefits over other scar treatment options. Consult with a healthcare professional or plastic surgeon to determine if silicone scar sheets are the right choice for your scar management needs.

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