Silicone vs taping an incision?

Every surgeon has a particular way of handling incisions and it's primarily due to the results they have seen in previous patients. Both silicone and tape are effective treatments for reducing the appearance of scars after a tummy tuck. However, some patients experience unpleasant side effects with one method or anotherSkin blistering and tears are sometimes present when adhesive tape is used. Traditional tape can also be difficult and painful to remove. Other patients experience skin irritation from silicone scar sheets so it really does come down to what method the surgeon has seen less complications with.

Dear Adventurous5183,
scar prevention begins in the OR during the surgery when I meticulously close wounds in multiple layers in order to reduce tension and reduce scars width. I tape my incisions during the early postoperative period to reduce micromotions of the tissues so the incision can heal earlier. I also use compression garments and later Biocorneum gel.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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.

This is not an exact science. I recommend using silicone sheeting after a tummy tuck. In fact there are silicone tapes made specifically for tummy tucks you can get on line. Also you can get an umbilical shaper to help control the shape and size of your navel

The scar products that work the best are the ones that are used. Some patients do well with tapes, and some cannot keep them in place. Gels and creams also work well if they do not rub off on clothing. Find something that you like and use it.

Each surgeon's opinion is reflective of her/his education and experience. If your surgeon prefers one over the other you can certainly ask the reasoning behind that opinion. There are many scar treatments available ranging from creams to silicone sheets to others such as Embrace Scar Therapy which works by reducing tension on the healing incision.

Covering scars with silicon, has a proven track record and was first discovered in burn units by applying custom-made, facial silicone masks on facial burn victims.
Some people believe that any substance that maintains close contact will have the same impact.
While the exact mechanisms by which silicone gel sheeting “SGS” improves hypertrophic scars, keloid development and recovery are yet to be fully agreed upon, its ability to do so remains largely undisputed at present. However, there still is ongoing deliberation over the exact mechanism of action of silicone in improving a scar. At present it is likely that through occlusion of the scar site and hydration of the wound bed, the overactivity of scar-related cells is suppressed, and their activity normalized.
Because the mechanism is not completely understood there is inherently going to be differences of opinion.
It is important to differentiate scar hypertrophy versus scar hyperpigmentation.
Hyperpigmentation is not improved by covering the scar with silicone the way it helps with scar hypertrophy.
Silicon treatment is more applicable to those who have a history of abnormal scar hypertrophy.
Individuals who have a history of ideal healing of scars, benefit less from the use of silicone.
Best,
Mats Hagstrom, MD