Efficacy is Questionable & Patients Compliance with Silicone Sheets for Scar Treatment is Minimal

Summary: Studies show that silicone products for the treatment of scars are of questionable efficacy and people who are prescribed to use them do not comply, for they are not comfortable and are not aesthetic. Better products are in need.

The double problem of compliance and doubtful effectiveness of silicone products.

Silicone gel sheeting or cushions and pressure garments are difficult and uncomfortable, which makes compliance very low not only on exposed areas such as the face where it is not aesthetic.

Regardless of the medical indication, regular use of a specific product is a must to ensure results. So many people fail to complete or follow proposed usage for over-the counter (OTC), as well as prescription products, as a rule.

Topical scar modification with liquid silicone, silicone gels and the like instead of sheets or pressure pads is no different, especially if it conflicts with current lifestyle protocol or aesthetic concerns. Thus regardless of efficacy, without compliance all efforts are useless or lost.

Apart from the issue of compliance, if studies show it is not clear whether silicon products helps prevent or treat scars, why would you be willing to use them?

Silicon gel sheeting is a soft, self-adhesive sheeting to be used on intact skin for preventing and treating both new and old scars.

The writers of a "Cochrane Review" (*) wanted to find evidence on whether silicon gel sheeting prevents the development of hypertrophic scarring in people with newly healed wounds, and itīs supposed effectiveness in treating old scars. They searched the medical literature for randomized and controlled clinical trials. They found thirteen trials with 559 participants, three trials were prevention studies, 8 trials looked at treatments and two trials looked at both prevention and treatment strategies. Their conclusion: " Most studies were of poor quality and it is unclear whether silicon gel sheeting helps".

(*) The Cochrane Library is a collection of databases containing high-quality, independent evidence to inform healthcare decisions. Cochrane reviews are the highest level of evidence on which to base clinical treatment decisions.

Another study, published in 2006, in Archives of Facial Plastic Surgery: official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies, concludes: "Most treatments for keloidal and hypertrophic scarring offer minimal likelihood of improvement."

" Treatment of keloids and hypertrophic scars: a meta-analysis and review of the literature. " by The Department of Otolaryngology-Head & Neck Surgery, Jefferson Medical College, and Center for Facial Plastic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, US.

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