Ask a doctor

After breast lift surgery, can I use Scarguard with silicone sheets?

I don't know which one to use so I figured I use both and get quicker results. I heard Scarguard is good because it's 12% silicone and hydrocortisone. I also heard it's also important to keep the scar pressed down with some material and my PS recommends silicone sheets which only have 4% silicone. I've decided to use both...will that be fine, if not then which is better? Thanks.

Doctor Answers 5

Scar remedies

I have used both products and both help scar maturation. However, I have not used both in conjunction but I cannot see why this would be a bad thing. But don't know that it will help you get "quicker results" either.

After breast lift surgery, can I use ScarGuard with silicone sheets?

Hello! Thank you for your question. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit are silicone sheets, hydration, and topical steroids.  Both choices should be adequate.  In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.

Hope that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

After breast lift surgery, can I use Scarguard with silicone sheets?

Both products seem to help with scar maturation.  But, what I find that seems to work best is massaging the scars with vitamin E oil, as well as taking vitamin E by mouth.  Follow your Plastic Surgeons suggestions for scar management.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 42 reviews

Scar therapy after breast lift

Thank you for your question.  I have recommended both products to my patients.  The downside with ScarGuard is the long length of scar and potential quick use of the product.  The silicone sheets are reusable and may be cheaper in the long run.  A new product, Embrace is now available, and has shown some very nice results on tummy tuck scars.  There is work in progress to tailor this new scar therapy toward breast incisions around the nipple/areola.  Preliminary evidence has shown improvement on the horizontal and vertical breast scars with this new product.  Good luck!

Silicone for scar improvement, which formulation to use?

Great question especially because there are so many more evidence based medical solutions.  My favorite is Neodyne Bioscience's Embrace.  It is a medical device consisting of "spring loaded" silicone gel sheeting,which is placed after the wound drainage or exudate has dried up; usually 10-14 days, postop. Patients can shower and return for replacement 10-14 days, postop;  the usual course of therapy is 90days.  I have had great results on high tension wounds such as abdominoplasty and brachioplasty but regrettably they haven't yet got the breast lift forms out.    My patients have had good results with Kelocote, which is very easy to apply and is very affordable. Finally, do review this consumer's humorous blog;  I agree with most of his observations.  Above all else, do confer with your PS.  Good luck.

Lavinia K. Chong, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 50 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.