Post-Stitch Scar Care: Silicone Sheets vs. Beauty Tape - Plastic Surgery

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Scar after suture removal


Two weeks ago, I had a car accident and during the stitch removal, the doctor advised me to use cosmetic tape for three months, but only after one week of removing the stitches.
The wound is raised; should I use silicone sheets or continue using the cosmetic tape?

Qi, 20~29 year old female. Ask Date: 2018/08/21

Dr. Lu Daokuan reply Plastic Surgery


Silicone sheets and artificial skin are both effective; however, beauty tape is less effective.
Use them for up to 6 months, and if you are not satisfied, consult a plastic surgeon.

Reply Date: 2018/08/21

More Info


When it comes to post-stitch scar care, the choice between silicone sheets and beauty tape can significantly impact the healing process and the appearance of scars. After your recent accident and subsequent stitches, it’s understandable that you want to ensure the best possible outcome for your scar healing.

Silicone sheets have been widely studied and are considered one of the most effective treatments for scar management. They work by creating a hydrated environment over the scar, which helps to flatten and soften the scar tissue. The silicone helps to reduce redness and itching, and it can also minimize the overall size of the scar. The pressure that silicone sheets exert on the scar is beneficial, as it can help to remodel the scar tissue over time. For optimal results, silicone sheets should be applied for at least 12 hours a day, and many practitioners recommend using them for several months post-surgery.

On the other hand, beauty tape is often used to hold the skin together and prevent movement that could lead to widening of the scar. While it can be beneficial in the initial stages of healing, beauty tape does not provide the same level of hydration or pressure that silicone sheets do. Additionally, as you mentioned, beauty tape can sometimes cause irritation or discomfort, especially if it is pulled off or if the skin is sensitive.
Given that your doctor recommended using beauty tape for three months, it’s essential to follow their advice, as they are familiar with your specific case. However, if you notice that the scar is becoming raised or if you are experiencing discomfort, it may be worth discussing the possibility of switching to silicone sheets with your healthcare provider.
In terms of timing, it’s generally advisable to wait until the wound has fully healed before introducing silicone sheets. If your stitches have been removed and the skin is intact, you can start using silicone sheets. If you are still using beauty tape, you might consider transitioning to silicone sheets after a week or so, especially if the scar is showing signs of hypertrophy (raised scar).
In summary, both silicone sheets and beauty tape have their roles in scar management. Silicone sheets are typically more effective for long-term scar treatment due to their ability to hydrate and apply pressure to the scar tissue. If you are experiencing issues with your current treatment, it’s best to consult with your healthcare provider to determine the most appropriate course of action for your specific situation. They may suggest a combination of both treatments or recommend a switch based on how your scar is healing. Remember, the goal is to achieve the best cosmetic outcome while ensuring that the healing process is as comfortable as possible.

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