How does the paper tape or silicone tape help a tummy tuck scar? Also how are you supposed to apply it?

Question

I will be getting a tummy tuck to remove a large amount of excess skin due to a 70 lbs weight loss. I have been reading all the comments on this site. I noticed everyone talking about the paper tape and silicone tape can someone explain how to use is and if it is necessary?

Victor Ferrari, MD, FACS · Answer

Scars are mainly collagen with no oil glands.  Therefore, they will dry out, microscopically crack an allow bacteria to fall into the cracks.  The bacteria will cause inflammation which leads to thicker scars.  Covering fresh scars with tape, silicone sheeting, or scar care products will keep the scar tissue from cracking so the scars will end up thinner.  Taking good quality vitamins and minerals also helps.

Benjamin Rechner, MD · Answer

Paper tape and silicone tape can reduce the tension on the scar. Reducing tension results in a narrower or finer scar. Stitches in the deep layers of the soft tissues do the majority of this work but the tape helps externally.  Both paper tape and silicone tape will also prevent dehydration however silicone is much more effective. Trans epidermal water loss or dehydration of the scar increases the inflammatory response, which causes more scarring (Dr. Tom Mustoe). 
Paper tape can be applied over the scar and left for days. Silicone tape is applied over the scar and is usually removed before showering and reapplied afterwards. Most silicone products come with instructions describing the most effective ways to use the particular product.

Scarring is a complicated issue and varies from person to person.  It is a topic that should be addressed with your surgeon prior to your surgery.

W. Lorne Brown, MD · Answer

I have tried various techniques for scar management.  Several years ago I did a study of 100 patients where silicone strips were used on one side, and paper tape on the other.  We have found that the paper tape worked just as well, was cheaper, and much easier to keep on, so this is what we now use

Gurmander Singh Kohli, MD, FACS · Answer

Thank you for writing to RealSelf.
Both paper tape or silicone strips or other modalities can help prevent scar hypertrophy. The choice depends on the preferences of the operating surgeon. So you need to ask your surgeon about this at the time of your preoperative consultation.

Brooke R. Seckel, MD, FACS (retired) · Answer

Silicon tape strips compress the scar and help reduce redness and firmness of the scar.  There are also silicone liquids available such as Scar guard which also can help.  If there is red hypertrophic scars 1549 ablative fractional erbium laser can be very helpful. Please read below:

Talmage J. Raine, MD, FACS (retired) · Answer

The tape or sheeting is used after surgery to improve the scar. I don't recommend it unless you are known to have scar issues. The instructions for placement and removal would come with the product.All the best,Talmage Raine MD

How does the paper tape or silicone tape help a tummy tuck scar? Also how are you supposed to apply it?

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