The use of liquid silicone gel in the treatment of hypertrophic scars and keloids

Actually silicone gel and silicone occlusive sheeting are the most useful and effective treatment for hypertrophic scars, surgical and traumatic. Moreover it was recommended also in the treatment of minor keloid in association with corticosteroid intralesional infiltration. Unfortunately, we incurred in some problems: maceration, rashes, itching and infection. Moreover not all patients were able to tolerate the plate, especially in children and in some anatomical region as the face, decolleté where it's not easy to dress for social, psychological and aesthetic obvious reasons. In other anatomical region it's difficult to obtain an adequate compression and occlusion of scar. To overcome such problems of applying silicone gel sheeting we wanted to test the using of liquid silicone gel (LSG) in the treatment of 36 linear hypertrophic scars (HS group) and 12 minor keloid (KS group) in alternative to silicone gel sheeting or plate. Objective parameters (volume, thickness and colour) and subjective complaints of pain, and itching sensation were examined on a scale of 0 to 3 (a low score was better), were made when the therapy started and after 30, 90 and 180 days of follow up. After 90 days of treatment with silicone gel alone (two application daily) the HS group showed a significant improvement in volume, redness and hardness.