Why silicone appears in scar-care guidance
An international expert review of scar-management guidance describes silicone sheets and gels as a first-line, non-invasive option for both preventing and treating hypertrophic scars and keloids. That recommendation reflects clinical experience, practicality and the body of evidence available at the time.
It does not mean every silicone product has been proven to change every scar. Product quality, the type and age of a scar, wear time and individual skin can all affect a person’s experience.
What the strongest review found
A 2021 Cochrane review examined 13 studies of silicone gel sheeting for hypertrophic scars. The authors found that many studies were small, reported results poorly or carried a high risk of bias.
Their conclusion was deliberately cautious: silicone sheets may help some outcomes, but the evidence was too uncertain to support sweeping promises. That is why responsible scar-care copy should talk about managing scar appearance, not removing scars or guaranteeing a result.
Using sheets as part of a routine
Follow the product instructions and use silicone tape only after a wound has closed and healed. Apply it to clean, dry skin, build wear time gradually and stop if irritation develops.
If a scar is painful, changing quickly, restricting movement or causing concern, ask a qualified healthcare professional for individual advice.
Sources
- Silicone gel sheeting for treating hypertrophic scars. Cochrane Database of Systematic Reviews via PubMed (2021).
- Management of scars: updated practical guidelines and use of silicones. European Journal of Dermatology via PubMed (2014).
- Silicone for scars: patient information. St George’s University Hospitals NHS Foundation Trust (2023).