Silicone strips v silicone gel to reduce scars post op? And why do people say the tape is too fiddly?

Both silicone gel and silicone strips are commonly used to reduce scars post-op, and each has its advantages and disadvantages.

Silicone Gel:

Advantages:
Easy to apply and can be used on scars of various shapes and sizes.
Forms a protective barrier over the scar, keeping it hydrated and protecting it from external irritants.
Some silicone gels contain additional ingredients like vitamin E or other antioxidants that may further promote healing.
Disadvantages:
Needs to be applied multiple times a day, which requires consistency and can be time-consuming.
Can feel sticky or greasy, especially in hot or humid conditions.
Might not adhere well to areas with a lot of movement or friction, such as joints.
Silicone Strips:

Advantages:
Provide consistent pressure over the scar, which can help flatten and soften it.
Don't require as frequent application as silicone gel, usually needing to be replaced every few days.
Can be cut to fit the specific size and shape of the scar, offering customized coverage.
Disadvantages:
Some people find them too fiddly to apply, especially for scars in hard-to-reach areas or areas with hair.
May not adhere well to areas with a lot of movement, such as joints or areas prone to stretching.
Can be visible under clothing depending on the location of the scar.
As for why some people find silicone tape too fiddly, it often comes down to personal preference and the specific circumstances of the scar. Silicone tape needs to be applied carefully to ensure it sticks properly and covers the scar adequately. This process can be challenging for some individuals, particularly if the scar is in a difficult-to-reach area or if they have limited dexterity. Additionally, some people may find the texture or sensation of the tape uncomfortable, leading them to perceive it as more cumbersome to use compared to silicone gel.

Hello and thank you for your question. Every plastic surgeon will have a preference for their scar care - I personally use a scar tape for at least 3 months postop for all patients and this has given the most reliable, best results for my patients. If a patient cannot tolerate the tape adhesive we recommend switching to silicone tape. To answer your question, the tape can be "fiddly" in the sense that removal and reapplication can be bothersome as the tape can stick to itself, get lint on it, or get wrinkles in it and it can be a pain to clean and keep straight. When you are postop it isn't as convenient or easy as just applying a silicone gel. I have found that, anecdotally, the tape provides for better results; however, any scar product that a patient is going to use is better than none and if a patient won't or can't use the tape, the gel is preferable. You can discuss options with your plastic surgeon. Best of luck!

Dear Butterflydays,
for scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.You should discuss your concerns with your plastic surgeon as different surgeons have different approaches in scar management.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

In my practice, I recommend using silicone scar cream twice a day. I will include a video in hopes that it helps to answer some of your questions.

Thank you for your question about the effectiveness of silicone gel versus silicone tape for scar treatment. It's a relevant concern for anyone looking to optimize their scar healing process.

The key takeaway is that silicone, in any form, is highly beneficial for scar management. Both silicone gels and tapes have been shown to improve the appearance of scars by keeping them hydrated and protected. The choice between gel and tape often depends on individual preference and the specific needs of your scar.

Some patients find silicone gel more convenient or comfortable to use, while others prefer the physical barrier provided by silicone tape. There are also those who benefit from using both, applying silicone gel first and then covering it with silicone tape. This dual approach combines the hydrating effect of the gel with the protective, consistent pressure provided by the tape.

As you mentioned, one of the challenges with silicone tape is its size, as many products are available in smaller strips that may not cover larger scars effectively. Gelzone, as you noted, is a product that comes in a larger strip (approximately 72" x 4"), which can be cut to fit the size and shape of your scar. This can be especially useful for covering extensive scars without the need for multiple small pieces.

Using a larger strip like Gelzone can offer more convenience and potentially better adherence to the scar area, minimizing the frustration of dealing with multiple small pieces.

Ultimately, the best choice between silicone gel, tape, or a combination of both depends on your specific scar, skin type, and personal preference. It's always a good idea to discuss these options with your plastic surgeon or dermatologist, who can provide guidance tailored to your scar and skin type.

I hope this response helps you decide the most suitable silicone-based scar treatment for your needs. Good luck with your scar healing journey.

Sincerely,
Dr. Katzen

Silicone taping is the most tried and true scar treatment. However, as you have heard, the tape is not typically as sticky as people make it out to be and it can give people fits. Because of this, many people move to the silicone creams, such as Biocorneum. This allows some silicone to be applied to the wound but is less cumbersome. To ease your mind, as long as you apply moisurizer, SPF, and do a bit of scar massage, 90-95% of people will have an excellent scar after one year even with out taping, special creams, or lasers.

Thank you for your question Following a mommy makeover, silicone gel and silicone strips are frequently used to treat scars. In general, silicone strips are superior for healing scarring because they can be contoured to fit certain scar sites, can be used for big scars, and they prevent thicker scars from developing. However, because they need regular changes, some people find them difficult to use. On the other hand, silicone gel is simpler to apply, particularly on tiny regions, but it is less contoured than strips and could be less effective on bigger treatment areas with greater mobility. However, for optimal results, adhere to your surgeon's advice and continue using the chosen option regularly.

There are several methods for scar treatment and each needs to be adapted to your particular scar. For some , tape works fine, for others just scar massage or gels. Some don't use anything and heal fine. Best is to let your surgeon follow-up with your particular scar and if you need any scar treatment, then according to the type of scar you develop, decision can be made. No need to worry about it from now.

Thank you for your query. Silicone gel strips or tapes are generally better for improving scarring, but can be more cumbersome to keep on. Fortunately good and gentle adhesive tapes are available to help. The silicone gel strips can be contoured for the breast scars, depending on the type of breast lift or reduction being planned. If you have a tendency for getting thicker scars, silicone gel strips or tape are preferable. Please discuss your concerns with your plastic surgeon who can help. All the best!

This really depends on patient preference and tolerance. We suggest that you use whichever type is easier to use for your lifestyle and then switch if it doesn't work out for you.