Active acne and silicone gels and sheeting
Silicone gels and sheeting can trap moisture over your pores, encouraging growth of surface bacteria that cause acne. They are perhaps indirectly related to causing pimples despite their documented treatment benefits for hypertrophic and keloid scars. I usually recommend allowing the skin surface to dry out for at least an hour after several hours of silicone use for scar management. You may combine topical antibiotics with the silicone treatments, but if the acne worsens, I would abandon this altogether.
Keloids/Scar -- Fraxel, 5fu/steroids, pulsed dye/vbeam/yellow laser, microneedling/PRP, surgical removal
Keloids require a special type of scar treatment. I suggest you see an expert to determine what is best. Dr. Emer.