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

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.