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Efficacy and compliance with silicone scar treatment products
The two-fold problem of compliance and questionable efficacy of silicone products.
Silicone gel sheeting or cushions and pressure garments are difficult to use and uncomfortable, which makes compliance very low not only on exposed areas such as the face where it is not aesthetic.
Regardless of the indication, regular use of a particular product is required to ensure results. Far too many people fail to complete or follow suggested usage for over-the counter (OTC), as well as prescription products, as a rule.
Topical scar modification with liquid silicone, silicone gels and the like instead of sheets or pressure pads is no different, especially if it conflicts with current lifestyle protocol or aesthetic concerns. Thus regardless of efficacy, without compliance all efforts are hindered or lost.
Apart from the issue of compliance, if studies show it is unclear whether silicon products helps prevent or treat hypertrophic and keloid scars, why would you be willing to use them?
Silicon gel sheeting is a soft, self-adhesive sheeting designed to be used on intact skin for preventing and treating both new and old hypertrophic and keloid scars.
The authors of a "Cochrane review" (*) wanted to find evidence on whether silicon gel sheeting prevents the development of hypertrophic or keloid scarring in people with newly healed wounds, and whether it is effective in treating established scars. They searched the medical literature for randomized and controlled clinical trials. They found thirteen trials with 559 participants, 3 trials were prevention studies, 8 trials looked at treatments and 2 trials looked at both prevention and treatment strategies. Their conclusion: " Most studies were of poor quality and it is unclear whether silicon gel sheeting helps".
(*) The Cochrane Library is a collection of databases that contain high-quality, independent evidence to inform healthcare decision-making. Cochrane reviews represent the highest level of evidence on which to base clinical treatment decisions.
Another study, published in 2006, in Archives of facial plastic surgery: official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies, concludes: "Most treatments for keloidal and hypertrophic scarring offer minimal likelihood of improvement."
" Treatment of keloids and hypertrophic scars: a meta-analysis and review of the literature. " by The Department of Otolaryngology-Head & Neck Surgery, Jefferson Medical College, and Center for Facial Plastic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, US.
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A natural skin care product for keloid and hyperthropic scars.
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