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It is now considered the first-line prevention and treatment for hypertrophic and keloid scars by occlusion and then hydration of the scar tissue. [3] Silicone gel is made of medical-grade silicone polymers. [4] Silicone gel sheet consists of a soft, semi-occlusive sheet and a membrane that increases the durability of the sheet. [3]
Dr. Alexiades says that she believes keloids behave like benign tumors of the skin; the fibroblasts—the cells that make collagen—are proliferating and producing collagen out of control in keloids.
A hypertrophic scar is a cutaneous condition characterized by deposits of excessive amounts of collagen which gives rise to a raised scar, but not to the degree observed with keloids. [1] Like keloids, they form most often at the sites of pimples, body piercings, cuts and burns. They often contain nerves and blood vessels.
Lone excision of keloid scars, however, shows a recurrence rate close to 45%. A clinical study is currently ongoing to assess the benefits of a treatment combining surgery and laser-assisted healing in hypertrophic or keloid scars. Subcision is a process used to treat deep rolling scars left behind by acne or other skin diseases.
In its uncured state, silicone rubber is a highly adhesive gel or liquid. To convert it to a solid, it must be cured, vulcanized, or catalyzed.This is normally carried out in a two-stage process at the point of manufacture into the desired shape, and then in a prolonged post-cure process.
I would propose the removal of all of the treatment section except for the claims that are backed up with references. It has clearly been hijacked by someone selling silicone sheets - almost every description of a treatment has been appended with a claim that it is inferior to silicone sheeting, or that it should be used with silicone sheeting.