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Linear scar reduction using silicone gel sheets in individuals with normal healing
Journal of Wound Care
|January 10, 2013
Summary
Silicone gel sheets did not significantly improve linear surgical scars. The study found no evidence of enhanced healing, suggesting they may not be beneficial for typical scarring.
Area of Science:
- Dermatology
- Wound Healing
- Plastic Surgery
Background:
- Linear scars result from surgical procedures.
- Scar management aims to improve aesthetic and functional outcomes.
- Silicone gel sheets are a common treatment modality for scar revision.
Purpose of the Study:
- To evaluate the efficacy of silicone gel sheets in improving linear surgical scars.
- To assess scar characteristics using the Participant and Observer Scar Assessment Scale (POSAS).
Main Methods:
- Ten participants with scars under one year old were enrolled.
- Silicone gel sheets were applied to half of each scar for six months.
- Scars were assessed bi-weekly using POSAS and visual analogue scales (VAS).
Main Results:
- No significant differences in VAS ratings between treated and untreated scar sides, except for overall observer opinion.
- Participants reported significant improvements in color, stiffness, and irregularities on treated sides.
- Observers noted significant improvements in pliability and pigmentation on treated sides compared to untreated sides.
Conclusions:
- Silicone gel sheets showed no definitive evidence of improved healing for linear scars.
- Results do not support the routine use of silicone gel sheets for linear scars in individuals without abnormal scarring history.
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