Surgery Book


Silicone Sheeting

Aka: Silicone Sheeting, Silicone Elastomer Sheeting, Silicone Gel Sheeting, Kelo-cote, ScarAway, Silicone Dressing
  1. Indications
    1. Prevention or Treatment of Hypertrophic Scar or Keloid
  2. Contraindications
    1. Open wound
  3. Mechanism
    1. Softens and flattens scar via Occlusion
  4. Preparations
    1. Kelo-cote
    2. ScarAway
  5. Technique
    1. Start once wound closure has occurred (3-4 weeks after injury)
    2. Use gels on the face and extensor surfaces (knees and elbows) and sheets on larger flat areas of closed skin
    3. Cut sheeting 1-2 cm larger than involved area
    4. Wash the sheet and the scar with soap and water daily between applications
    5. Apply directly over wound and leave in place for 12-24 hours per day for 2-3 months
      1. Example: Start Day 28 for 3 months after wound closure
      2. Longer use beyond 3 months does not improve outcomes
  6. Advantages
    1. Simple and painless with few adverse effects
    2. Consider in children intolerant to local steroid
  7. Efficacy
    1. Reduces hardness, Hyperpigmentation, elevation and Pruritus associated with scar
      1. Does not eliminate scar
    2. Improves >80% of Keloids
  8. References
    1. Berman (2007) Dermatol Surg 33(11): 1291-303 [PubMed]

Silicone dressing (C1271483)

Concepts Medical Device (T074)
SnomedCT 391865002
English Dressing, Silicone, Silicone dressing (physical object), Silicone dressing
Spanish vendaje de silicona (objeto físico), vendaje de silicona
Derived from the NIH UMLS (Unified Medical Language System)

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