I have read many of you recommend Silicone Sheets (they need be applied less often correct?) and Or Paper Tape... For the Tummy Tuck scars and Breast Lift scars. I have not gotten mine done yet but would like to have the needed supplies on had for when I do have it done in January of 2012. So with all of the companies telling us their product is best. What do you say?
Which over the Counter Silicone Sheeting and or Paper Tape Do You Recommend for TT and Breast Lift Scars?
Doctor Answers 18
Postoperative scar treatments
Although many plastic surgeons recommend the use of silicone sheeting there really is no good evidence that it is superior to paper tape. I did a small study of my own patients who had undergone a tummy tuck. I had patients cover one half of their scars with paper tape and the other half with silicone without telling me what they had used on ether side........ I was unable to find any difference between the two sides.
Begin using after 3 months.
The use of silicone sheets, steri-strips, and tape are all popular methods for treating postoperative scars. These materials are typically applied to the wounds three weeks after surgery. This allows adequate time for small areas of breakdown to heal and wound edges to seal.Treatment lasts for variable periods of time, but in most cases the duration is about three months.
These maneuvers are associated with excellent clinical results and high levels of patient satisfaction.At this point in time, it’s reasonable to use silicone sheets, paper tape, and steri-strips as long as all your wounds are completely sealed.
Silicone sheet or tape for scar treatment after lift
Post operative scar size and thickness, as well as color, (in the absence of disease) may be affected by:
- Tension on the closure: avoidable in the breast, less controllable in the tummy tuck
- Skin type.
- Motion: stretch along the incision line will affect the scar formation negatively
- Gravity: scars that are under tension due to weight will tend to widen and thicken
Prolonged skin taping (one month at least) followed by scar reduction protocol including Silicone patches can improve your chances of having less visible incisions.
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Paper Tape for Tummy Tuck and Breast Lift Scars
Great Question. The answer is YES! Silicone sheets are useful but a bit difficult to use as they often do not stay on well and can create a reaction. Personally I am a BIG fan of paper tape. There are many surgical tapes that are sold in drug stores, however, it is very important to purchase PAPER tape to avoid the burden of skin reactions from the adhesive of regular tape. I dispense a special surgical paper tape to my patients and do not allow them to use anything other than the tape I give them. Some patients can still have a reaction to paper tape, therefore it’s important to discontinue the tape and apply an ointment, such as aquaphor if that happens. Consult with your doctor and follow their instructions. I hope this has helped.
Which ovr the Counter Silicone Sheeting &/or Paper Tape Do You Recommend for TT & Breast Lift Scars?
I have to agree with the others..Many of my patients use Biodermis silicone strips ordered on-line but they can get rashy (a word??) so I advise only half-day use and they are expensive. So for simplicity, I am going more and more now to brown 3M paper tape left on 2 weeks and then changed weekly by the patient, as Dr. Kyllo recommends.
Not all paitents or scars need to be treated with silicone sheeting or any other prophylactic measure. However, this is something to be discussed with your surgeon. There really is no best product but each surgeonwill have a philosophy of how and when to treat potentially hypertrophic scars. Having said that, if I do treat scars with silicone sheeting, I like ones that have a reinforced backing, a self-adhering side, and a degree of thickness to it so that some pressure can be applied. I use the Medical Z products but there is no proof it is necessarily better than any others.
Robin T. W. Yuan, M.D.
Of all the factors that influence scar maturation, I believe genetics plays the largest role. However sun avoidance and scar massage may have some value. I am awre that there are a number of opinions on post surgery scar therapy, but I recommend Dr. Blaines. It is relatively inexpensive and easy to use.
Topical scar treatments have little benefit
Tap or silicone for scar care?
I find that the easiest, cheapest, and most effective treatment for surgical scars is to use paper tape. I apply it in the operating room directly over the closed incision and usually leave it for 2 weeks before changing it. I then instruct patients to change it themselves weekly or so. I recommend wearing the tape for 3 months and find that the scars remain flat and do not become red or raised. This will even work to some degree with older scars that are raised and red. Silicone sheets do work but are more difficult to keep in place and they do not breathe which sometimes will cause a rash. Scar creams do not really work well in my experience. Remember to use only paper tape, not adhesive tape!