Scar treatment and prevention with silicone
An "evidence-based approach in scar management ... highlights a primary role for Silicone Gel ... in the management of a wide variety of abnormal scars." [1]
- In a 27-trial meta-analysis and results from 8 randomised controlled trials, Silicone Gel proven safe and effective for hypertrophic scars and keloids
- Best practice, in many cases, involves the use of less radical therapy early on for both treatment and prevention
- Silicone is the only non-invasive option for which evidence-based recommendations have been made for both scar treatment and prevention
- Silicone is recommended as first line therapy in the treatment of:
- Linear hypertrophic scars
- Keloids
- Widespread burn hypertrophic scar
- Silicone gel can be used as mono-therapy or in combination with other therapies
Abnormal scar prevention
For abnormal scar prevention, silicone should be considered as first-line prophylaxis, beginning shortly after surgical closure [1]
Intra-individual comparison of 20 patients after 2 months' treatment and 6 months' follow-up
Use of Silicone Gel Sheeting should begin soon after surgical closure, when the incision has fully epithelialised. [2]
References
- Mustoe TA et al. Plast Reconstr Surg 2002;110:560-571
- Mustoe TA, Cooter RD, Gold MH et al. International clinical recommendations on scar management, Past Reconstrtr Surg 2002; 110: 560-71
