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Doctor insights on: Does Silicone Gel Really Work For Scars

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Does silicone gel really work for scars?

Does silicone gel really work for scars?

Scar improvement: Silicone gel is actually one of the only scar treatments that has data to show it's effectiveness. Other treatments that have been shown to have positive results include covering the scar with paper tape and/or the use of compressive garments. ...Read more

Silicone (Definition)

Silicones are inert, synthetic compounds with a variety of forms and uses. Typically rubber-like, they are used medically in breast implants and to replace arthritic mp ...Read more


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How does the silicone gel patch work on scars? I've been using it since 11/29/14. It help tremendously but I'm not sure if it's doing anything now

How does the silicone gel patch work on scars? I've been using it since 11/29/14. It help tremendously but I'm not sure if it's doing anything now

Mechanism: Is by providing direct physical barrier to fibroblast (or scar tissue forming cell) formation in hypertrophic scarring. These form up to one year, so you need to use gel patch as long as possible. Once the scar becomes hypertrophic, it becomes difficult to reverse. ...Read more

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I have a few hypertrophic scars on my left inner forearm. They are a little over 2 years old and completely healed. Would silicone gel work on them?

I have a few hypertrophic scars on my left inner forearm. They are a little over 2 years old and completely healed. Would silicone gel work on them?

Very useful: Silicone gel sheets, now available in patches by several manufacturers, have been found to be very useful in remodeling scar tissue. The gentle pressure applied to the skin by the patch will slowly flatten scars and keloids. They need to be worn regularly for several weeks to months for its full effect. ...Read more

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I have 4 pigmented scars on my face. Would silicone gel (dermatix) work for these Scars. One is slightly hypertrophic.

I have 4 pigmented scars on my face. Would silicone gel (dermatix) work for these Scars. One is slightly hypertrophic.

Probably not: Sometimes we can inject the raised one with a steroid. For the darker marks there are a few options. It is best to see a dermatologist. In the meantime sun protection is essential. ...Read more

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Can silicone gel be used on a depressed scar?

Can silicone gel be used on a depressed scar?

Not usually: More helpful on raised scars. Depressed scars more often require removal and repair to give the tissue margins better support under the skin. Depressions can occur with loss of deeper fat tissues, or if the wound separates due to tension after closure. See you local plastic surgeon for advice. ...Read more

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Biocorneum gel, Mederma or hexilak silicone gel which of these 3 gel is better to treat scars which are created from stiches?

Biocorneum gel, Mederma or hexilak silicone gel which of these 3 gel is better to treat scars which are created from stiches?

Depends: Don't expect much from any of these. Where is the scar? How big? How old? If it is important to you, see a dermatologist or plastic surgeon. ...Read more

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Is Mederma scar gel or hexilak silicone gel better for keliod scars caused?

Is Mederma scar gel or hexilak silicone gel better for keliod scars caused?

Keloid scar options: Keloids are scars that grow outside the boundaries of the original scar and usually require more agressive treatment such as surgery and injections. Scars that are thick or red but not keoids can be treated with various topicals, my recommendation being scar gel from skinmedica. Most scars improve over time without special treatment, and taping them for 6 weeks after surgery helps more than creams. ...Read more

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What is the best treatment for hypertrophic scars, is it best to use silicone sheets or silicone gel. Or is it possible to use both?

What is the best treatment for hypertrophic scars, is it best to use silicone sheets or silicone gel. Or is it possible to use both?

Scars: Silicone sheets and gels can be very helpful but usually you need to be consistent and the usually time frame is three months. No need to use both just one or the other. However, it is not perfect and if there is not adequate resolution of the scar, you may need to seek consultation with a plastic surgeon or dermatologist.
Hope that helps. ...Read more

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I just bought a scar away silicone gel with massaging applicator for my hypertrophic scar. I need to learn how to used? And for how many days I have to?

I just bought a scar away silicone gel with massaging applicator for my hypertrophic scar. I need to learn how to used? And for how many days I have to?

Won't work: Sorry, buddy. These are scams. A plastic surgeon can help our with the scar if it is something you want. Or keep the scar as a badge of pride showing you have lived richly and perhaps even adventurously. We buy tattoos. We earn scars. You are a tough guy. Best wishes. ...Read more

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Please can you suggest me an effective medicine against acne scars? I was using hexilak silicone gel which was quiet effective. Should I continue.?

Please can you suggest me an effective medicine against acne scars? I was using hexilak silicone gel which was quiet effective. Should I continue.?

Acne Scarring: Micro needling can help with scars (adding PRP helps even more), fractionated lasers are better, but more expensive. A less invasive (but slower results) process would be laser genesis to the scars. If they are depressed you can use needle subcision or fillers to improve the appearance. Silicone gel has been shown to help scars. It's ok to continue that indefinitely. ...Read more

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Can silicone gel sheet used on acne scars and mark left by acne and how long will it take to see the results?

Can silicone gel sheet used on acne scars and mark left by acne and how long will it take to see the results?

Not sure: Silicone gel is used for scars, probably best for fresh scars to reduce the formation. On established scars it is unclear how well it works. Acne scars are well treated with chemical peels, microneedling and laser treatments. ...Read more

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Is it safe to use silicone gel sheet on acne scar on the face?

Is it safe to use silicone gel sheet on acne scar on the face?

Yes: Though it would be safe, I doubt that you would be able to keep the sheet in place long enough for it to be effective. For silicone gel sheeting to effectively flatten raised scars it should be used for, at least, 12-18 hours a day. There are more "convenient" ways to try and improve scars on the face. ...Read more

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Is it safe to use silicone gel/sheets or vitamin E oil for scar treatment while breastfeeding? Will either help with a keloid?

Is it safe to use silicone gel/sheets or vitamin E oil for scar treatment while breastfeeding? Will either help with a keloid?

Safe but ineffective: While these are indeed safe to use while breastfeeding, spend the money buying a toy or cute outfit for your new baby as they will not be very effective in treating keloids. See a dermatologist for more appropriate options for your keloids. ...Read more

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Does the silicone gels like (scar away, maderma) have risks by using them on hypertrophic scars? And if there any risks can anyone tell me about them.

Does the silicone gels like (scar away, maderma) have risks by using them on hypertrophic scars? And if there any risks can anyone tell me about them.

No known risk: No known HELP!




Hope this does help...


Try Vitamin E capsules (use pin and squeeze out gel)
a LITTLE more "scientific" than silicon!
Hope this helps!
Dr Z ...Read more

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Hi, I hit forehead 10 days ago and 9 stitch up, for scar in my eyebrow, which product is better? Mederma scar gel or Kelo-cote Silicone? Thanks

Hi, I hit forehead 10 days ago and 9 stitch up, for scar in my eyebrow, which product is better? Mederma scar gel or Kelo-cote Silicone? Thanks

Silicone based: Silicone based products are superior to Mederma which contains Allium, naturally occurring in onions. Studies have essentially been equivocal when looking at the effectiveness of Mederma. The effectiveness of silicone based products has been well demonstrated in research trials. ...Read more

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Can silicon gel sheets helps in hypotrophic scars?

Yes: This is an excellent option for hypertrophic scars before trying something like steriod injections. The trick is to wear the sheets essentially 24/7. It will take several months for the results to show. Patience is a virtue :-). ...Read more

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Can silicon gel sheets fade the appearance of scars from laser tattoo removal? (The scar is about 3 years old).

Can silicon gel sheets fade the appearance of scars from laser tattoo removal? (The scar is about 3 years old).

No evidence: These have not been shown to be particularly effective for scar reduction. Try Mederma, Vitamin D, or consultation with a cosmetic dermatologist, or plastic surgeon. ...Read more

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Best treatment for a fresh nearly 3 weeks old keloid surgical scar on neck. I have starting yesterday to use the silicon gel called dermatix 15g.?

Best treatment for a fresh nearly 3 weeks old keloid surgical scar on neck. I have starting yesterday to use the silicon gel called dermatix 15g.?

Excess scar: Unlikely a keloid (defined as a scar that grows outside the edges of the scar) and more likely a hypertrophic scar (excess reaction). Silicone gel sheeting is used to sooth and quiet the early scar. If symptomatic (like itching, stinging, etc) some will be treated by diluted kenalog (triamcinolone) (steroid) injections into the scar itself to attempt to slow or stop the scarring excesses. See your dr to confer. ...Read more

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I have a hypertrophic scar (1inch) on my neck, under the rt ear. I was due to over healing of a cut. Please suggest remedies. I have tried silicon gel.

I have a hypertrophic scar (1inch) on my neck, under the rt ear. I was due to over healing of a cut. Please suggest remedies. I have tried silicon gel.

Steroid injection: Many times a steroid injection can help flatten a scar. Also laser treatment or scar revision surgery are options. Talk to a board certified plastic surgeon to go over options.. ...Read more

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Does scarsil silicone gel make you grow?

Question not clear.: Not sure I am tracking your question. Scarsil silicone scar-gel is used topically for scars and stretch marks. It is not used for body growth. ...Read more

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Facial graze used solugel and covered with bandaid for 5 days. Wound is now healed flat and pink. How long to continue above? Do you rec silicone gel?

Facial graze used solugel and covered with bandaid for 5 days. Wound is now healed flat and pink. How long to continue above? Do you rec silicone gel?

Silicone gel is: Best for thickened scars. If skin is flat pink and surface is healed, I would use sunscreen and possibly growth factors to reduce redness. If lesion still visible in 2 weeks, consider laser treatment. Hope that helps ...Read more

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What is the difference between saline implants and silicone gel implants?

What is the difference between saline implants and silicone gel implants?

Material: Basically, saline in a bag and silicone in a bag. Check the data on length of success and safety and compare. Also, look at follow-up options after failure. Good Luck. Suggest if you do it, then only do it for you -- not someone else -- your body. ...Read more

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Please advise what is the difference between saline implants and silicone gel implants?

Materials: Saline implants are bags of saline, which has a certain feel and movement to it. Silicone gel implants are bags of silicone gel. Different feel and movement. Fill a balloon with water and fill another with jello and let set in fridge. Squeeze them and poke them with your finger to feel the difference. Silicone would be somewhat firmer than the jello, but same idea. Read up on them. Good Luck. ...Read more

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Do you think I can treat a small keloid on my neck that has been there past 10 years with silicone gel?

Do you think I can treat a small keloid on my neck that has been there past 10 years with silicone gel?

Kenalog (triamcinolone) injection: You can certainly give it a try to see if the keloid responds to silicone gel, but I believe that it is very unlikely. To the extent that silicone gel helps, it is generally for fresh scars or active (irritated) keloids. It is much more likely that an injection of Kenalog (triamcinolone) would be helpful. Of course, as always, you need to see a physician to have it evaluated first to see if this would be helpful. ...Read more

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Will silicone gel-filled breast implants affect my mammograms?

Will silicone gel-filled breast implants affect my mammograms?

Yes: The presence of any implant, saline or silicone, will affect how the mammograms are performed. If the test is completed in a standard fashion there may be up to 15% of the breast tissue that still will require additional imaging. ...Read more

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Textured vs smooth silicone gel implants I have small breasts, size aa, and do not have too much breast tissue, my plastic surgeon recommended I use textured because I will getting my implants done abroad in s. Korea and will not have time to receive mass

Textured vs smooth silicone gel implants I have small breasts, size aa, and do not have too much breast tissue, my plastic surgeon recommended I use textured because I will getting my implants done abroad in s. Korea and will not have time to receive mass

Controversial: Textured implants are popular in europe but not widely used in the usa except for anatomic or cohesive gel shaped implants. They act like velcro and maintain the position of the implant and are associated with a lower risk of capsular contracture. However there may be concerns with traction rippling and in very thin patients, textured implants tend to be more palpable. ...Read more

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Why does it take so long for the redness from a popped zit under the lip border to go away? Does daily silicone gel for a few weeks help?

Why does it take so long for the redness from a popped zit under the lip border to go away? Does daily silicone gel for a few weeks help?

Inflammatory Respons: The redness is due to lots of capillaries bringing in red ; white blood cells, nutrients ; removing waste to attack, control ; heal an inflammatory reaction to the material within the lesion. Pressure ; popping the lesion spreads irritating cytokines into the surrounding intercellular spaces, accentuating the inflammatory response. Additionally, bacteria on the skin now have better access. ...Read more

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What is the best way to treat hammer toe (little toe)? I am using a silicone gel tube & wider shoes but still have pain.

What is the best way to treat hammer toe (little toe)? I am using a silicone gel tube & wider shoes but still have pain.

Hammered toes: Hammer toes develop when the foot flexors take over the extensors and a hammered appearance of the toe ensues. They can be painful and despite wider shoes and silicon covers, may need to be corrected by a surgical procedure. A Podiatrist should be consulted to explain to you the procedure and its risks. Good luck. ...Read more

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I have breast implants (silicone gel) for 10 years now and I feel something similar to air bubbles on both my breasts. Is there something to worry about?

I have breast implants (silicone gel) for 10 years now and I feel something similar to air bubbles on both my breasts. Is there something to worry about?

Sometimes: This is not likely due to air bubbles, but may be a sign that the pocket around the implants is tightening. It may be something that can be safely ignored, but if it is bothering you, it can be fixed. If it is something to worry about, it can be brought to a quick resolution with a quick check-up with your plastic surgeon, or any board certified plastic surgeon in your area. ...Read more

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15 days post op (round, silicone gel, 450cc both sides and round) and my left breast feels heavy on incision line but no nipple movement nor pain. Is it bottoming out?

15 days post op (round, silicone gel, 450cc both sides and round) and my left breast feels heavy on incision line but no nipple movement nor pain. Is it bottoming out?

Implants/bottoming?: Impossible to respond without a posted photo or in person examination! Best to see your chosen operative surgeon ASAP or seek in person second opinion from a boarded PS in your area... ...Read more

Dr. Ed Friedlander
1,985 Doctors shared insights

Scars (Definition)

Scar = fibrous tissue that forms ...Read more