Silicone scar strips are a non-invasive treatment made of medical-grade silicone that adhere directly to the skin. They create an occlusive barrier over the developing scar, increasing tissue hydration. This moist environment signals the skin to regulate collagen production, the protein responsible for scar formation. This process ultimately helps to flatten, soften, and reduce the discoloration of raised scars. Using these sheets minimizes the appearance of hypertrophic and keloid scars, and understanding the proper duration of use is necessary for achieving the best results.
When to Begin Using Silicone Strips
Initiating treatment with silicone strips is directly tied to the wound’s healing progress. Treatment must only commence once the wound is completely closed, meaning the outer layer of skin has sealed over. This typically occurs after any sutures have been removed and scabs have naturally fallen off, ensuring there is no oozing or discharge.
For post-surgical wounds, the ideal starting window is approximately one to three weeks following the injury or procedure. Applying the strips during this early, immature phase is a proactive measure to help prevent the development of thick, raised scars. Beginning treatment promptly allows the silicone to influence collagen production while the scar is actively remodeling.
The Required Daily Wear Schedule
Achieving scar improvement requires maintaining a near-constant application of the silicone strip. The consensus recommendation is to wear the strips for a minimum of 12 hours per day, with 20 to 24 hours daily being the goal for optimal results. Consistent contact allows the silicone to influence the scar’s hydration and collagen production effectively.
If the skin is sensitive, start the daily wear schedule gradually to allow for an acclimation period. A typical starting regimen involves applying the strip for four hours on the first few days, then slowly increasing the duration over one or two weeks until the minimum twelve hours is reached. The strips must be removed daily for proper hygiene, which involves cleaning both the scar area and the strip itself.
Cleaning and Reapplication
To clean the reusable silicone strip, gently wash it with a mild, non-oily soap and lukewarm water. Rinse thoroughly and allow it to air dry completely before reapplication. Applying the strip to a clean, dry scar, free of lotions, gels, or powders, ensures maximum adhesion and efficacy. This daily routine maintains the strip’s stickiness and prevents the buildup of dirt or bacteria that could irritate the skin.
Total Recommended Treatment Length
The total duration of treatment is typically measured in months, determined by the scar’s response and severity. For most new scars, the medical recommendation is consistent daily use for two to four months. This timeframe allows the scar to undergo significant remodeling and reach a stable, improved state.
More severe scars, such as established hypertrophic scars or keloids, may require a longer treatment period, often extending to six months or more. Treatment can be considered complete when the scar has become softer, flatter, and its redness has significantly diminished. Stopping the treatment too soon may lead to a regression of the scar’s appearance.
Consulting a dermatologist or surgeon is helpful for a personalized timeline, especially when dealing with older or complex scars. While silicone strips benefit older scars, the process may take longer, sometimes requiring a combination of silicone sheets and silicone gels for continuous 24-hour coverage. Continued use until the scar is fully matured, which can take up to a year or more, maximizes the final cosmetic outcome.