I have a scar on my chin. I had skin cancer removed. The scar looks to have stretched a litle in the middle and the sides are raised a little making the accual scar look deep. I have bought scar care silcone gel pads. Do you think this will help flatten the tissue on the side of the scar?
Can Silicone Gel Pads Flatten Raised Scar Tissue?
Doctor Answers (5)
Silicone gel sheets help, but don't solve.
Yes, silicone gel scar sheets (or liquid you can paint on) do help to flatten and fade thick, red scars. These are technically called "hypertrophic scars" and are not true "keloid" scars as many people call them, including some doctors. Hypertrophic scars form only in the location of the actual trauma and do not grow and spread outside of the trauma line, although they may become wide and raised.
Over time, these hypertrophic scars usually do fade and flatten on their own, especially with regular massage, so the gel sheets may just be helping to speed up this process. Unfortunately, nothing except re-excising and resuturing the wide flat scar can help narrow it.
Silicone sheeting and scar pads for keloids
It sounds as though you have had successful removal of a skin cancer with surgical margins, resulting in dog ears at the edges of the incision. This can occur with wide excision of skin cancers with margins in areas that do not have redundant tissue. In this particular case, silicone sheeting will not decrease the thickness of the dog ears, as the tissue is generally well perfused.
Patients with true hypertrophic or keloid scars may benefit from conservative measures such as silicone sheeting, TAC injection, and massage.
Silicone gel sheeting for raised scar
Use of silicone gel sheeting (recommended 90-day treatment duration, on at night, off during the day) can improve the over-all appearance of surgical scars. I would advise you to begin massaging the raised areas as well several times daily to help break up some of that scar tissue. For immature scars that have a pink/red component, vascular lasers can be beneficial as well.
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Silicone sheets work very well for raised scars
Silicone sheets work. The mechanism of action is not very clear but it could be related to creation of electro-static activity and compression. NO side effects from using it. Best of luck!