Can Biocorneum continue to beneficially work on scars after 3 months?

Question

I had a breast and arm lift about 5 months ago, and I've used Biocorneum for about 3 months. If I continue use, will it be effective, or should I stop?

Nick Slenkovich, MD · Answer

Hi! I’m Lauren, the aesthetic provider here at Colorado Plastic Surgery Center. Absolutely, continuing Biocorneum at 5 months post-op can still be effective. Scar healing and remodeling can take up to a year, so using silicone and sunscreen during this time is very beneficial. The silicone helps improve scar texture and color, while the SPF protects healing skin from darkening due to UV exposure, even under clothing or swimsuits. We recommend using sunscreen on incisions well beyond 6 months, especially when exposed to any sunlight. If you're seeing good results and tolerating it well, continuing makes sense.

Krishna Vyas, MD, PhD, MHS · Answer

Yes, BioCorneum can continue to be beneficial for scars even after 3 months of use. 
Evidence-based wound care shows that the most important things are: genetics, tension on the incision, and splinting/hydrating the wound.
Different individuals heal at different rates, and scars can continue to improve over the course of a year. I perform a lot of breast surgery, so I typically do surgical taping for the first two weeks, followed by silicone taping and/or Biocorneum thereafter.
BioCorneum protects scars through its silicone-based gel formula, which forms a flexible barrier over the scar. This protective layer helps maintain optimal hydration by preventing moisture loss, which is essential for tissue regeneration and minimizing scarring. Additionally, BioCorneum shields the scar from external irritants, while its built-in SPF 30 protects the scar from harmful UV rays that could lead to discoloration. Over time, the silicone helps regulate collagen production, improving the scar's texture and appearance by softening, flattening, and reducing redness. By supporting the natural healing process, BioCorneum encourages the scar to mature in a way that is more aligned with the surrounding skin, ultimately leading to a less noticeable and healthier-looking scar. 
Krishna Vyas, MD, PhD, MHSHarvard and Mayo Clinic Trained Aesthetic and Plastic SurgeonNew York, New York

Craig Rowin, MD · Answer

For maximum effectiveness, use BIOCORNEUM consistently for the duration of treatment advised by your physician.
New scars:60 DAYSOld scars: 90 DAYS

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question.  Our office likes BioCorneum very much and recommends it to patients like yourself with scars. We believe that it helps get good results in our incision lines.  We see it as continuing the care of the patient's wounds. We usually start it at 3 weeks post procedure.  It is medical grade and supposed to be found only in a Physician's office or hospital.  Silicone sheeting has been used by Plastic Surgeons for decades. We like BioCorneum better than sheets as we think as a gel, there is more contact for a longer period of time.  Often we will have patients on the BioCorneum longer than 3 months.  It all depends on the individual.  Please call with questions.
Jeffrey J. Roth, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Las Vegas Plastic Surgery

Kenneth Hughes, MD · Answer

In general, scarring is a product of genetics. Some people are good scar formers, and others are poorer scar formers. There is no one best therapy for scars. Silicone sheets, Mederma, and Biocorneum are reasonable and popular options. I recommend that the scar therapy begin after the scars have healed and there are no open areas, which usually takes 4 to 6 weeks. Scars will improve over the course of a year. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist for after care. I recommend Silagen + Bioshield to promote healing. Any scarring can be improved with lasers and microneedling/prp. See an expert. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear goodmom6,I recommend my patients to use Biocorneum gel after week 6. But every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Can Biocorneum continue to beneficially work on scars after 3 months?

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