Silicone-based scar therapy: a review of the literature.
Hypertrophic and keloid scars still are among the banes of plastic surgery. In the treatment arsenal at the disposal of the plastic surgeon, topical silicone therapy usually is considered the first line of treatment or as an adjuvant to other treatment methods. Yet, knowledge concerning its mechanisms of action, clinical efficacy, and possible adverse effects is rather obscure and sometimes conflicting. This review briefly summarizes the existing literature regarding the silicone elastomer's mechanism of action on scars, the clinical trials regarding its efficacy, a description of some controversial points and contradicting evidence, and possible adverse effects of this treatment method. Topical silicone therapy probably will continue to be the preferred first-line treatment for hypertrophic scars due to its availability, price, ease of application, lack of serious adverse effects, and relative efficacy. Hopefully, future randomized clinical trials will help to clarify its exact clinical efficacy and appropriate treatment protocols to optimize treatment results.
Stavrou
Demetris
D
Department of Plastic and Reconstructive Surgery, The Chaim Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. demetrisstavrou@gmail.com
Weissman
Oren
O
Winkler
Eyal
E
Yankelson
Lior
L
Millet
Eran
E
Mushin
Oren Paul
OP
Liran
Alon
A
Haik
Joseph
J
D000287:Administration, Topical; D001672:Biocompatible Materials; D002921:Cicatrix / Q000628:therapy*; D006801:Humans; D012826:Silicone Elastomers; D012828:Silicones
D001672:Biocompatible Materials; D012826:Silicone Elastomers; D012828:Silicones