Silicone gel sheeting
for the prevention and management of evolving hypertrophic and keloid scars.
A prospective randomized clinical trial to investigate the effect of silicone gel sheeting
(Cica-Care) on post-traumatic hypertrophic scar among the Chinese population.
The International Clinical Recommendations on Scar Management (written for the International Advisory Panel on Scar Management) recommend silicone gel sheeting
and intralesional corticosteroids as first-line therapy, based on a systematic review of the clinical literature.
Blaine's line, for example, combines medical-grade silicone gel sheeting
with vitamin E and benzalkonium chloride, while Scarguard MD uses what the company calls MD SG5 technology to combine five medically proven treatments--including silicone, cortisone and vitamin E--in a single, clear liquid.
Topical silicone gel sheeting has been used for more than 20 years to help reduce the size of hypertrophic scars and keloids.
When hypertrophic scars and keloids were treated by laser removal and covered with silicone gel sheeting, 12.5% of the scars recurred, compared with a 37.5% recurrence rate when the sheeting wasn't applied (J.
Forty-eight hours after surgery, half of each group received topical silicone gel sheeting, while the other half continued to receive routine wound care.
Among 23 patients in the high-risk group who underwent revision surgery to improve the appearance of their old scars, 64% of those who received silicone gel sheeting did not develop new abnormal scars at that site, compared with 17% of those in the routine care group.
Steroid injections or silicone gel sheeting
aren't often successful and surgery simply leaves behind a bigger scar.
(2) Numerous therapeutic modalities have been used to treat them, including intralesional steroid injection alone; surgical excision alone; surgical excision with skin grafting; surgery followed by radiation therapy; radiation therapy alone; systemic drug therapies, including vitamin E, penicillamine, colchicines, thiotepa, and tetrahydroxyquinone; massage; silicone gel sheeting; intralesional interferon; compression therapy; cryotherapy; laser excision; electrodessication; and topical medications such as 5-fluorouracil or bleomycin.
Various other adjunctive modalities have also been studied, such as silicone gel sheeting, topical therapies, systemic therapies, and compression therapy.
Silicone gel sheeting
has long been used to treat raised or enlarged scars, says the web site for the brand.