After quite a few surgeries and scars on the skin, I feel that I can share my experience with silicone for the treatment of scars. Obviously, when a surgeon cuts through the skin, there is a scar. When I first went to a medical supply store, they sold me silicone gel and silicone sheets. They had a picture of someone with the most radical scar I’ve ever seen and then another picture of the scar after using silicone. Miraculously in the picture, the scar had disappeared completely.
I bought both the silicone sheets and gel. The silicone came in sheets that you could cut to fit the scar. I tried both. The sheets can be washed and re-used so they are a better value. I tried both for 5 months. The scar healed very slowly but it was a big scar. For another surgery, I decided to use a different brand. It is thinner so it stays on the skin really well. The one I used previously was thick and often fell off of the scar. Also, the thinner material had perforations so it could be torn off without using scissors. I felt that it worked really well. That was CICA-care. I liked it much better.
I would say that silicone works well for scars but it also depends on how a person individually heals. If you are prone to developing keloid or hypertrophic scars, then silicone is a good choice. Here is what I have read in regard to silicone:
Silicone fully encapsulates the scar site, meaning that it completely covers the treatment site for even distribution of necessary moisture (hydration) and maximum exposure to oxygen. Although the entire site is covered, silicone is semipermeable, allowing oxygen to enter while maintaining necessary moisture. This is called “homeostasis,” otherwise known as an ideal healing environment. This ideal healing environment at the stratum corneum signals keratinocytes to scale back the production of collagen, thereby preventing abnormal scarring.
While I do believe that medical-grade silicone works, I think there is a difference between brands. It’s a good idea to look at reviews. And I wouldn’t say that scars disappear completely like some pictures show but there can be an improvement.