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Which over the Counter Silicone Sheeting and or Paper Tape Do You Recommend for TT and Breast Lift Scars?

I have read many of you recommend Silicone Sheets (they need be applied less often correct?) and Or Paper Tape... For the Tummy Tuck scars and Breast Lift scars. I have not gotten mine done yet but would like to have the needed supplies on had for when I do have it done in January of 2012. So with all of the companies telling us their product is best. What do you say?

Doctor Answers (15)

Postoperative scar treatments

+2

Although many plastic surgeons recommend the use of silicone sheeting there really is no good evidence that it is superior to paper tape.  I did a small study of my own patients who had undergone a tummy tuck.  I had patients cover one half of their scars with paper tape and the other half with silicone without telling me what they had used on ether side........ I was unable to find any difference between the two sides. 


San Francisco Plastic Surgeon
5.0 out of 5 stars 8 reviews

Which ovr the Counter Silicone Sheeting &/or Paper Tape Do You Recommend for TT & Breast Lift Scars?

+2

I have to agree with the others..Many of my patients use Biodermis silicone strips ordered on-line but they can get rashy (a word??) so I advise only half-day use and they are expensive. So for simplicity, I am going more and more now to brown 3M paper tape left on 2 weeks and then changed weekly by the patient, as Dr. Kyllo recommends.

John J. Corey, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 18 reviews

Scar treatment

+2

Of all the factors that influence scar maturation, I believe genetics plays the largest role. However sun avoidance and scar massage may have some value. I am awre that there are a number of opinions on post surgery scar therapy, but I recommend Dr. Blaines. It is relatively inexpensive and easy to use.

William Loutfy, MD
Albuquerque Plastic Surgeon
5.0 out of 5 stars 17 reviews

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Silicone sheet or tape for scar treatment after lift

+2

Post operative scar size and thickness, as well as color, (in the absence of disease) may be affected  by:

  1. Tension on the closure:  avoidable in the breast, less controllable in the tummy tuck
  2. Skin type. 
  3. Motion:  stretch along the incision line will affect the scar formation negatively
  4. Gravity:  scars that are under tension due to weight will tend to widen and thicken

Prolonged skin taping (one month at least) followed by scar reduction protocol including Silicone patches can improve your chances of having less visible incisions.

Mario Diana, MD
San Antonio Plastic Surgeon
4.5 out of 5 stars 24 reviews

Topical scar treatments have little benefit

+2
We just reviewed the topic of scar treatments at the hot topics session at the plastic surgery meeting here in denver.there is very lttle evidence that any of them help more than simple taping.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 25 reviews

Tap or silicone for scar care?

+2

I find that the easiest, cheapest, and most effective treatment for surgical scars is to use paper tape. I apply it in the operating room directly over the closed incision and usually leave it for 2 weeks before changing it. I then instruct patients to change it themselves weekly or so. I recommend wearing the tape for 3 months and find that the scars remain flat and do not become red or raised. This will even work to some degree with older scars that are raised and red. Silicone sheets do work but are more difficult to keep in place and they do not breathe which sometimes will cause a rash. Scar creams do not really work well in my experience. Remember to use only paper tape, not adhesive tape!

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 10 reviews

Treatment for scars

+2

for30 years I have used paper tape. when all of the new products came out I try them and continue to go back to paper tape. it also costs only pennys

Sherwood Baxt, MD
Paramus Plastic Surgeon
4.0 out of 5 stars 11 reviews

Scar and Wound Therapy

+1
“I have been using paper tape for my patients to help support the wound after injury and surgery and minimize scars for over twenty-five years,” said Dr. Domanskis, whose cosmetic plastic surgery practice is international.

Numerous scientific studies have demonstrated that taping is just as effective as other methods such as silicone scar gels and sheeting for optimum wound healing and scar control. “My ScaRx®Tape is simple and effective. I have found that these other products are difficult and messy for my patients to use and so become ineffective because of non-compliance,” continued Dr. Domanskis.

ScaRx®Tape is hypoallergenic and made with non-toxic adhesive. It is latex free and breathable, maintaining skin integrity. ScaRx®Tape has been shown to last about a week even with bathing. Instructions recommend that patients use ScaRx®Tape continuously for several months to help achieve the best scars possible.

“I have intentionally kept the price of my ScaRx®Tape low compared to other wound therapies in order to make it more affordable and available. I know first-hand how bad scars affect people not only cosmetically, but psychologically,” finished Dr.Domanskis.

ScaRx®Tape is available online

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 24 reviews

Management of Tummy Tuck and Breast Lift Stars?

+1

 Thank you for the question.

I have used paper tape, stare strips, silicone sheeting, and silicone gel creams and haven't noticed significant differences in healing of incision lines. Unfortunately,  sometimes despite plastic surgeons best efforts abnormal scarring can occur. Often, patients who are genetically inclined to scar well will do so without any intervention whatsoever.

I would suggest that you follow your plastic surgeons “protocol”;  otherwise, you may become confused/frustrated with the variety of opinions you will obtain online.

Best wishes with your procedure.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 753 reviews

Scar treatment: Use what works best for you

+1

The most important consideration concerning the quality of your scars is choosing the right surgeon.  A surgeon who is meticulous in their markings before surgery and in their incision closure tend to get the best scar results. It is much better to have all buried sutures so that their are no stitch marks in the skin and no sutures have to be removed after surgery.

After surgery, leave the tapes on your incisions as long as possible. Once they start to come off, use whatever you find easy to apply and doesn't cause irritation to your skin. Forget about vitamin E or other proprietary gels or ointments, the just don't work. Covering your scars for several months with tape or silicone sheeting is best. I generally recommend Nexcare tape because it is cheaper than silicone sheeting, it comes in an easy dispenser and they have four different types to chose from. Use whichever works best for you but be religious about it. If  you get thick scars despite your best efforts, see your surgeon who may prescribe a steroid-impregnated tape or perform small steroid injections.

James McMahan, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 11 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.