What is the effective duration for using silicone gel sheets for scar management?

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Last updated: February 20, 2025View editorial policy

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From the Research

Silicone gel sheets should be used for a duration of 3-6 months to achieve noticeable effects on scar management, with daily wear of at least 12-23 hours, and regular replacement every 3-4 weeks. The most recent and highest quality study on this topic is the 2023 Cochrane review 1, which assessed the effectiveness of silicone gel sheeting for treating keloid scars. Although the review found very low-certainty evidence and insufficient data to demonstrate the effectiveness of silicone gel sheeting, it did not provide a clear recommendation against its use. In clinical practice, the use of silicone gel sheets is often recommended for a duration of 3-6 months, with daily wear of at least 12-23 hours, and regular replacement every 3-4 weeks 2, 3, 4, 5. Some key points to consider when using silicone gel sheets for scar management include:

  • Keeping the skin clean and dry during use
  • Avoiding excessive wear or irritation
  • Monitoring for any adverse effects, such as rash or maceration
  • Considering alternative treatments if no improvement is seen after 3-6 months It is essential to note that individual results may vary, and the effectiveness of silicone gel sheets may depend on various factors, such as the type and severity of the scar, as well as the individual's overall health and skin condition. Therefore, it is recommended to consult a healthcare professional for personalized advice on using silicone gel sheets for scar management.

References

Research

Silicone gel sheeting for treating keloid scars.

The Cochrane database of systematic reviews, 2023

Research

Silicone gel: a new treatment for burn scars and contractures.

Burns, including thermal injury, 1983

Research

Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2001

Research

Self-adhesive silicone gel sheet: a treatment for hypertrophic scars and keloids.

Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2000

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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