Silicone gel sheeting is a solidified form of silicone that is elastic and has a soft, rubbery texture. These sheets come in square, circular, or rectangular shapes, making them ideal for a variety of different scar sizes. Each sheet or bandage has a tacky backing, allowing for a gentle adhesion that sticks to the skin and covers the entire scar site. Silicone gel sheets are reusable and can be washed with soap and water to expand their lifespan for up to two weeks or more.
Silicone sheeting is the optimal solution for scars resulting from burns, breast reduction surgery, tummy tucks, or C-sections. A typical treatment cycle recommended for optimal results is 8 to 12 weeks. You can apply silicone sheeting to your scar as soon as your wound has healed or the sutures have been removed from your incision. Immature scars that are younger than 12 to 18 months are good candidates for silicone treatment, but improvements can still be made with mature scars.
Silicone sheeting and silicone ointments are both highly effective and safe methods for flattening and reducing the appearance of keloid and hypertrophic scars. The decision to use one over the other depends on personal preference, scar size, and scar location. Both of these product types, in addition to silicone scar sticks, can be purchased from Biodermis, a leader in silicone gel technology and scar management for the past 30 years. Biodermis offers an array of unique silicone products, like Epi-Derm Silicone Gel sheets that come in a variety of shapes, sizes, and colors. Xeragel by Biodermis is a 100% medical-grade silicone ointment recommended for the treatment of all scar types. As an alternative to silicone sheets and ointments, Biodermis also offers Pro-Sil , the award-winning silicone scar stick that comes in a convenient glide-on applicator.
A clinical study was designed in which 20 women who were to undergo bilateral McKissock reduction mammaplasties were requested to use a precut silicone elastomer sheet over the scars of one breast, starting at the time of suture removal. The patients were instructed to use the silicone sheet for 12 hours each day for 2 months. Evaluation of the scars at 2 months revealed that 60% of the nontreated scars were hypertrophic and only 25% of the treated scars were hypertrophic. The difference was found to be statistically significant (p < 0.05). The use of the sheets was discontinued after 2 months and the beneficial effect remained at the 6-month evaluation.
Topical silicone products represent a safe and effective treatment option for healing scars. Two of the most popular formulations are topical silicone gel and silicone gel sheeting. Both have been studied in numerous clinical evaluations that have demonstrated these products to be a successful treatment for a variety of scar types, both old and new. Such scar types include keloids, burns, hypertrophic scars, and scars from trauma, cosmetic procedures, C-sections, and abdominoplasty.
According to a publication in the journal Advances in Wound Care, the key mechanism by which silicone gel sheeting heals scars is by replicating the occlusion properties of the stratum corneum (the uppermost layer of skin). When a wound is healing, a complex process unfolds that ultimately results in regeneration of the stratum corneum. The new, immature, stratum corneum allows abnormally high levels of transepidermal water loss, which causes dehydration. The state of dehydration signals to various cells in the epidermis to synthesize and release collagen. Unfortunately, when the body produces too much collagen, the result is a raised, discolored sar.
Another way that silicone gel sheeting helps heal scars is by transferring tension from the edges of the wound to the silicone gel sheet. Gently reducing this tension provides the ideal environment for normal scar development and can significantly reduce the rate of abnormal and keloid scarring. (Adv Wound Care . 2015)
One advantage of silicone gel sheets is that they can cover a large area at once, making them ideal for large scars, burn scars, major abrasions such as road rash, and scars that do not form a straight line. Plus, once the sheet is applied it can be worn for up to 24 hours before having to apply a new sheet.
On the other hand, silicone gel sheets cannot be applied to mobile areas of the body, such as the elbows or knees, as they will not adhere to these areas well. Plus, most patients prefer not to put a sheet on visible areas of the body, such as the face, neck, or hands. Finally, the sheets cannot achieve and maintain adequate contact with scars when applied to skin with an irregular contour. (J Korean Med Sci. 2014) In these scenarios, a topical silicone gel would be more appropriate.
Topical silicone gel formulations work similarly to sheets in order to promote scar healing. Upon application, the gel forms a thin layer that dries quickly, creating an occlusion that increases hydration of the stratum corneum.
Only a few studies have compared the effectiveness of topical silicone gels versus that of silicone gel sheets in preventing scars. One prospective study published in the Journal of Korean Medical Science compared the efficacy and the convenience of use of these two silicone products.
The conclusion of this study was that while previous studies have advocated for silicone gel sheets as first-line therapies in postoperative scar management, similar effects can be expected with topical silicone gel. The authors recommend that, when clinicians have a choice of silicone-based products for scar prevention, they should focus on each patient's scar location, lifestyle, and willingness to undergo scar prevention treatment.
Our Specialist Plastic Surgeons and Dermal Clinicians are keen to see more evidence-based, non-sponsored research being done to assess just how effective these treatments are and what patients might benefit most. But from what is known currently, it is likely that silicone strips might be an effective method for treating various scars after surgery for some patients.
Yes, it appears this is a safe treatment and the FDA even recommends silicone strips for the treatment and reduction of scars. There have been no reported side effects from using silicone strips because it is made of non-toxic, medical-grade silicone. Every person is different, however, and you could have an allergy to it (rare but possible).
My 10 year old daughter had an indented burn scar on her leg from having a wart removed with freezing. It was very noticeable and made her feel bad. About three months after the freezing I found you folks and ordered the Hyper-Heal cream and the silicone sheets. I received it that same week. After using both products together for about two weeks continuously her scar improved dramatically, the scar seemed to blend in with the rest of her skin and it filled in where it used to be sunken in. We continued to use the same regime, now it has been 3 months and I can't believe it I no longer see the scar and you can't tell. Thank you, Linda, Gainesville, FL
I have been using the ReJuveness derma skin roller, silicone sheeting and scar cream for about a month now on my acne scars. Many of my scars are over 15 years old, my indentations are almost entirely filled in and most of the discoloration is gone. My friends have noticed a difference and are asking me if I had laser surgery. I have seen a significant overall improvement in my scars in a short period of time. I just wanted to say Thank-you for your products. Jennifer, WA
For selling a product that really works. I am now able to look myself in the mirror without crying. Your cream and silicone sheets have healed recent scars on my face caused from acne. The scar cream in combination with the silicone sheeting have raised indented scarring on my face to almost unnoticeable to even me. And when I say even me, I mean that I am obsessed with flawless skin on my face. I am going to use your products on every scar I have and I know I will be satisfied. My scar on my face healed to almost gone in only two weeks. Thank you so much and I will be sure to pass on the word to everyone I know. Thanks Elanor, New Jersey
Everyone suffers from wounds due to injuries or surgical procedures at some point in their lives. Once your wound has fully healed, especially if it was deep or large, you may be left with a scar. Scar therapy bandage sheets made from silicone can be used to improve the appearance of scars. Though this mechanism is not fully understood, these sheets, if used appropriately, have been shown to have positive effects on many, but not all scars. Below, Dr. Stephen L. Comite, dermatologist at SkinProvement Dermatology New York, answers common questions about silicone sheets for scar treatment.
A silicone gel sheet is a soft, flexible, self-adhesive dressing that is applied over scars. It contains silicone. Silicone can help to improve the colour, height and texture of a scar. Silicone can also relieve itching and discomfort caused by a scar.
Doctors have used silicone sheeting for over 35 years, and silicone gel is also now in use. Evidence seems to suggest that these options are effective at reducing scars and improving their appearance. For example:
Keloids and hypertrophic scars represent an exuberant healing response that poses a challenge for physicians. Patients at high risk of keloids are usually younger than 30 years and have darker skin. Sternal skin, shoulders and upper arms, earlobes, and cheeks are most susceptible to developing keloids and hypertrophic scars. High-risk trauma includes burns, ear piercing, and any factor that prolongs wound healing. Keloid formation often can be prevented if anticipated with immediate silicone elastomer sheeting, taping to reduce skin tension, or corticosteroid injections. Once established, however, keloids are difficult to treat, with a high recurrence rate regardless of therapy. Evidence supports silicone sheeting, pressure dressings, and corticosteroid injections as first-line treatments. Cryotherapy may be useful, but should be reserved for smaller lesions. Surgical removal of keloids poses a high recurrence risk unless combined with one or several of these standard therapies. Alternative postsurgical options for refractory scars include pulsed dye laser, radiation, and possibly imiquimod cream. Intralesional verapamil, fluorouracil, bleomycin, and interferon alfa-2b injections appear to be beneficial for treatment of established keloids. Despite the popularity of over-the-counter herb-based creams, the evidence for their use is mixed, and there is little evidence that vitamin E is helpful. 781b155fdc