Silicone vs taping an incision?

Hello,
Thank you for your question about whether silicone treatment or taping is more effective for managing incision scars. This is a common concern, especially when looking for the best ways to ensure optimal healing post-surgery.
You are correct in stating that there is substantial medical evidence supporting the efficacy of silicone treatments for scars. Silicone has been extensively studied and is widely recognized for its effectiveness in minimizing the development of hypertrophic and keloid scars. This is indeed a medically proven fact.
As for taping, the results vary and are not as conclusive as those for silicone treatments. Tapes come in different types, and some of the best options include silicone-infused tapes. The advantage of using tape, particularly silicone tape, over silicone cream alone is that the tape can provide consistent pressure on the scar. This pressure is beneficial as it helps to flatten and smooth the scar over time.
Many plastic surgeons recommend a combination approach to scar management. They often prescribe a silicone-based cream to be applied directly to the scar, which is then covered with silicone tape. This dual approach leverages the benefits of both silicone and the pressure provided by the tape.
For optimal scar management, it's typically advised to continue this treatment for up to two years. Scars can continue to break down and remodel over a 24-month period. While most plastic surgeons agree that silicone cream is superior to plain tape, using both cream and tape together can offer the best results in scar care.
I hope this response provides clarity on the use of silicone treatments and taping for scar management. It's always a good idea to follow your surgeon's specific recommendations for postoperative care to achieve the best healing outcomes.
Good luck with your recovery and scar management.
Sincerely,
Dr. Katzen

Both silicone strips and paper tape have been used to aid in scar healing, but they work through slightly different mechanisms.

1. Silicone Strips: These strips are made of medical-grade silicone and are applied directly onto the scar. They create a semi-occlusive barrier over the scar, trapping moisture and creating a favorable environment for healing. Silicone strips also provide gentle compression, which can help flatten and fade scars over time. They are typically reusable and can be washed and reapplied multiple times.

2. Paper Tape: Paper tape, also known as surgical tape or medical tape, is often used to secure dressings or bandages in place after surgery. While it doesn't have the same properties as silicone strips in terms of moisture retention and compression, some healthcare providers recommend using paper tape to support scar healing. It can be applied over the scar to provide gentle support and protection, particularly in areas where silicone strips may not adhere well or if silicone products cause skin irritation.

In summary, both silicone strips and paper tape can be beneficial for scar healing, but they work through different mechanisms. Silicone strips provide moisture retention and compression, while paper tape offers support and protection. Because of their occlusive nature, silicone strips often feel warmer than paper tape in warmer climates.