Silicone therapy

The discovery in the 1960s of how to isolate this polymer cheaply paved the way for commercial applications. In scar treatment, we distinguish 3 forms of silicone treatment:

1. silicone fluids

2. silicone gel dressings

3. silicone elastomers

1. Silicone fluids

In the past, these were used during the wound phase as an immersion medium, to allow early mobilisation. Unfortunately, the technique became less popular because impure industrial silicones were used.

2. Silicone gel dressings

Gel dressings can also be used without additional pressure.

3. Silicone elastomers

Solid elastomers are often used to fill concave hollows during pressure therapy.

Use of silicone therapy

Silicone applications soften the underlying skin structures. As a result, the scar becomes less red and more supple, and subjective complaints such as itching and pain are reduced.

How does silicone therapy work?

It is assumed that hydration of the stratum corneum (the outer layer of the skin) reduces capillary activity, resulting in lower collagen production in the scar and less hypertrophy.