Are there any alternatives to silicone sheets? I have a small part of my scar that has pleating - will that go away over time?

Silicone sheeting is most helpful on my opinion.  I usually start this treatment 2-4 weeks after surgery.   The pleating that you see will resolve.  

I have heard numerous scar treatment options in my career - everything from aloe vera and cocoa butter to horse liniment and emu oil.  The fact that there are so many of them tells me that none of them is perfect or else we would all be using it.  Silicone sheets are one option but they have to be kept clean and they may be hard to get to adhere to the skin.  You did not mention how long ago your surgery was, but most pleating will resolve within a couple of weeks to a month.  It actually takes a full year to a year and a half for a scar to fully flatten and mature.  If you still have pleating or an unsatisfactory scar after a reasonable amount of time then this portion of your scar may need to be revised.

Silicone is the most effective treatment in scar management. As an alternative to the sheets though, BioCorneum is a great product that works in a similar way. It's a gel that you apply to the scars twice a day that dries like a "silicone sheet." Much easier than applying the sheets daily. Hope this helps!