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Given these properties, the silicon sheet is an excellent treatment for the healing of new wounds which have closed. In the first few months of the wound closure, it is hard to determine the nature of the scars - as to whether it is a keloid or a hypertropic scar. As different types of scar formation are treated differently, it is recommended that a neutral treatment be used until a scar has been identified as belonging to either category. For this purpose, the silicon sheet is very helpful.
[ See ] A controlled trial of Silicone versus nonsilicone gel dressings [ Indications ]
................................................................................................................................................... [ Preventive Approach ]
[ Benefits of our scar bandage ]
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During scar management, the silicone sheeting is thought to stimulate repair of the dysfunctional top layer of skin covering hypertrophic and keloid scars, as well as decreasing the over-adhesive content found in their matrix. The way the silicon sheets balance the complex cellular physiology to promote the proper healing of the problem scar may be indirect and mysterious, but the evidence of its effectiveness and results are clear.
With this in mind, an effective scar management program should be based on the modalities of wound support, hydration, and hastened maturity, all factors gleaned from scientific evidence published over the past 25 years. Tension on a scar in one axis will result in a stretched scar, probably initiated by neutrophils and their neutral proteases. Tension on a scar from many directions or intermittently will result in a hypertrophic scar, possibly initiated by lymphocytes but definitely related to a prolongation of the inflammatory process, with increased fibroblast activity and overabundant |extracellular matrix secretion. The common initiating factor is the tension on the scar, and the critical element needed to counteract this tension is scar support. Clinical experience has shown us that the most reliable way to support a scar is by using microporous tape or silicone tape at the early stages of formation. Hydration is a second beneficial influence on scar control and is the basis of the use of silicone sheeting and gel.
In scars at different age and in different position
Keloid and hypertrophic scars have many of the same symptoms as fresh wounds in the early stages of the healing process. Among the similarities between problem scarring and newly formed wounds are redness, swelling, pain, itching, high levels of water evaporation and the over production of collagen. In many ways keloid and hypertrophic scars are like wounds that never fully heal. Clinical studies show the best way to address problem scars is a preventative approach before they have a chance to fully develop.