The Use of Silicone Gel Sheets and Creams for the Treatment of Hypertrophic Scars


As part of the Toe Lift procedure we provide an aftercare package of silicone gel products.

The International Advisory Panel in 2001 suggested a combination of intralesional corticosteroid injection and silicone gel sheeting for the treatment of hypertrophic scars (1).  Silicone gel sheeting was first used in 1981 for the treatment of hypertrophic scarring at an Australian pediatric hospital (2).

A trial involved 42 people aged between 2 and 60 with red, dark or raised scars. The trial studied the effect of Silicone gel treatment at two and six months and compared the results with untreated scars (3).

Results showed 93% of scars had improved after 2 months with silicone gel.  These scars had improved in condition, colour and texture, softening to enable the skin to become more flexible.  Only 12% of untreated scars improved after 2 months, with just 38% showing improvement after 6 months. 

Another study which was probably one of the most extensive of its kind, involving 125 people who had red, dark or raised scars up to 20 years old (4).

The results proved 81% of patients who continued with the trial showed improvements in the condition of their scars, even those with scars that were up to 20 years old.

81% of patients who continued on the trial improved their scars with  silicone gel.



1.Mustoe T, Cooter R, Gold MH, et al. International clinical recommendations on scar management. Plast Reconstr Surg. 2002;110:560–571.

2.O'Brien L, Pandit A. Silicon gel sheeting for preventing and treating hypertrophic and keloid scars. Cochrane Database of Systematic Reviews. 2006;1

3.Carney, Carson, Gowar, Stevenson, Macnee, Groves et al 1994.

4.Quinn 1987.