Conflict of interest None.
Influence of silicone gel on standardized postoperative scars
Article first published online: 5 FEB 2013
© The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin
JDDG: Journal der Deutschen Dermatologischen Gesellschaft
Volume 11, Issue 5, pages 412–419, May 2013
How to Cite
Riedel, M., Brinckmann, J., Steffen, A., Nitsch, S., Wollenberg, B. and Frenzel, H. (2013), Influence of silicone gel on standardized postoperative scars. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 11: 412–419. doi: 10.1111/ddg.12011
- Issue published online: 29 APR 2013
- Article first published online: 5 FEB 2013
- Manuscript Accepted: 6 NOV 2012
- Manuscript Received: 9 AUG 2012
Silicone gel is one therapeutic approach in the treatment and prevention of excessive scarring. The likely mechanism of action is the hydration of the tissue. This should lead to reduced angiogenesis and capillary blood flow. The efficacy is still controversial and the evidence base, insufficient. The aim of this prospective and standardized study is to investigate silicone gel in the preventive treatment of scars.
Patients and Methods
Included in the study were 20 patients with costal cartilage harvest. Half of a standard chest scar was treated for three months with a silicone gel. The other half served as an internal control. After three months both scar sides were compared subjectively by visual analog scale and objectively by elasticity, moisture and color measurements.
Of 19 patients 8 had a better subjective result in the treated half. In one subject, no difference was seen. A worse subjective result in the treated half was seen in 10 out of 19. The objective measurements showed no significant difference. A correlation between the different results was not seen.
The use of silicone gel caused subjective differences within the same scar (worsening as well as improvement of the appearance). Positive effects were not detectable in the investigated parameters.