Silicone Gel Sheeting & Compression Clinical References

“Silicone gel sheeting has been a widely used clinical management option for hypertrophic scars and keloids since the early 1980s. Despite initial skepticism, there is now good evidence of its efficacy and silicone gel sheeting has now become standard care for plastic surgeons.”

Mustoe TA, et al. International clinical recommendations on scar management. Plast Reconstr Surg. 2002 Aug;110(2):560-71.

Of all non-invasive treatment modalities the use of continuous pressure and occlusive contact media, e.g. silicones, seem to be generally accepted as the only ones that are able to manage hypertrophic scarring without significant side-effects. A summary of the current opinions of the assumed working mechanisms of pressure as well as silicones is given. The use of silicones, either alone or in combination with pressure, is discussed. The recent development of custom made silicone devices has led to combinations of both modalities.

Van der Kerckhove, E. et al. Silicones in the rehabilitation of burns: a review and overview. Burns. 2001 May;27(3):205-14.

“SILICONE GEL DRESSINGS have been shown to be effective for the treatment of keloids and hypertrophic scars, as first described in 1983.1 They promote a decrease in scar size,2,3 volume,4 pain, itching, and erythema.5”

De Oliveira, V., et al.: Silicone versus nonsilicone gel dressings: a controlled trial. Dermatol Surg. 2001 Aug;27(8):721-6.

“Silicone provides a comforting, moisture retaining area for minimizing scarring and helping recovery symptoms such as itching and burning while the compression panel helps support and control swelling at the incision. Controlling scarring and swelling means increased comfort and better recovery.”

Matthew Meunier, MD

Topical Silicone Gel Sheeting in the Treatment of Hypertrophic Scars and Keloids:A Dermatological Experience
Gold MH / Journal of Dermatology – Surgical Oncology 1993; 19:912-916

“The silicone gel sheets resulted in moderate improvement in scar thickness, scar color and was noted to be effective to some degree in all tested. The material was easy to use and painless.”

A Dermatological Experience Gold MH / Journal of Dermatology – Surgical Oncology 1993; 19:912-916 Exerpts
“The silicone gel sheets resulted in moderate improvement in scar thickness, scar color and was noted to be effective to some degree in all tested. The material was easy to use and painless.”

Gold MH et al. Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting. Dermatol Surg 2001 Jul; 27(7): 641-644.

Zurada JM, Kriegel D, Davis IC. Topical treatments for hypertrophic scars. J Am Acad Dermatol 2006;55:1024-1031 “In summary, silicone gel sheeting is efficacious, both in minimizing the severity of hypertrophic scars in fresh wounds and in promoting the resolution of pre-existing hypertrophic scars. Silicone ointment or gel, although more convenient and suitable for exposed areas, is less effective than silicone sheeting.”