Scar Treatment: Comparing Effectiveness of Ointments vs. Adhesive Strips - Dermatology

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Which is more effective for scar removal, ointment or adhesive tape?


Hello, Doctor! It's been about a month since my knee surgery, and I just had my stitches removed.
I initially had beauty tape applied, but recently I've switched to using scar ointment.
I understand that scars cannot be completely eliminated, but I would like to know which is more effective, the tape or the ointment? If I only use the ointment, do I still need to continue using the tape? How should I combine both treatments? Thank you for your help!

Xiao Jun, 30~39 year old female. Ask Date: 2005/06/16

Dr. Huang Ruiyun reply Dermatology


Beauty tape.
The ointment should be made of silicone oil (as a substitute for silicone sheets).
Once the ointment is applied, it won't adhere properly.

Reply Date: 2005/06/16

More Info


When it comes to scar treatment, the choice between ointments and adhesive strips can significantly impact the healing process and the final appearance of the scar. Both methods have their own benefits, and understanding how they work can help you make an informed decision.

Adhesive strips, particularly silicone gel sheets, have been shown to be effective in managing scars. They work by providing a moist environment that promotes healing and helps to flatten and soften scars over time. Silicone strips can also reduce itching and discomfort associated with healing scars. The mechanism behind their effectiveness lies in their ability to hydrate the scar tissue and create a barrier that protects it from external irritants. Studies have indicated that silicone gel sheets can significantly improve the appearance of hypertrophic scars and keloids, which are types of raised scars that can occur after surgery or injury.

On the other hand, ointments, especially those containing silicone, can also be beneficial. Silicone-based ointments can provide similar benefits to silicone sheets, such as hydration and protection. However, traditional ointments that do not contain silicone may not be as effective in flattening and softening scars. They can help in moisturizing the skin and may assist in the overall healing process, but they might not provide the same level of scar management as silicone products.

In your case, since you have recently had knee surgery and are transitioning from adhesive strips to ointments, it is essential to consider how to best use both treatments. If you are using a silicone ointment, you may not need to continue using the adhesive strips, as the silicone in the ointment can provide similar benefits. However, if the adhesive strips have been effective for you, it might be worth continuing their use, especially during the initial healing phase.

For optimal results, you can consider a combination approach. You might use the adhesive strips for a certain period, especially if you notice that they are helping to flatten the scar, and then transition to the silicone ointment as the scar matures. This way, you can take advantage of the benefits of both treatments. It's also crucial to follow the instructions provided by your healthcare provider regarding the duration and frequency of use for both the adhesive strips and the ointments.

Additionally, it is important to note that scars can take time to mature, and their appearance may change over months or even years. While some scars may improve significantly with treatment, complete removal of a scar is often not possible. Factors such as the type of scar, individual healing response, and skin type can all influence the final outcome.

In conclusion, both silicone adhesive strips and silicone ointments can be effective in scar management, but they work best when used appropriately. If you are unsure about the best approach for your specific situation, it is advisable to consult with your healthcare provider or a dermatologist who can provide personalized recommendations based on your healing progress and scar characteristics. Remember, patience is key in scar treatment, as significant improvements may take time to become evident.

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