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