Derm-Q&A: How Long to Wear Silicone for Flatter Scars

When dealing with surgical scars, keloids, or acne scarring, understanding proper silicone application timing is essential for achieving optimal results. Here are the most frequently asked questions about silicone scar care, answered by skincare experts.

When should I begin using silicone scar products?

Begin using silicone scar sheets as soon as the wound has closed, and stitches or staples have been removed. [1] Your skin should be completely healed without any oozing, crusting, or irritation in the area. For post-surgical scars, you may typically begin approximately 1-2 weeks after stitches or staples are removed or when cleared by your physician for use.

For existing scars, you may begin using silicone products immediately, provided your skin is intact and no wounds or irritation are present. Whether you choose Nuvadermis silicone scar sheets or our advanced scar gel, consistent application is key to seeing results.

How many hours per day should I wear silicone scar sheets?

The general recommendation for wearing silicone scar sheets is between 12-24 hours daily. [2] Wear the silicone sheet for a minimum of 12 hours per day, gradually increasing the duration to 24 hours if tolerated. [1]

Each sheet should be removed daily to allow the scar area to be washed and cleaned. Silicone works 24 hours per day [3], so the longer the silicone is in contact with your skin, the faster you may see results. If you experience any skin sensitivity, start with shorter periods and gradually increase wearing time.

Can silicone products be used on any part of the body?

Yes, when used as directed, silicone products can be used on any part of the body, avoiding mucous membranes, open wounds, and direct contact with eyes. Silicone gel or spray products are ideal for exposed or hard-to-address areas such as face, ears, neck, scalp, arms, hands, and joint areas. Once dry, silicone gel or spray can also be worn under makeup or sunscreen.

Nuvadermis offers both flexible scar sheets and advanced gel formulas to accommodate different body areas and personal preferences.

How long will it take to see results?

Duration will vary from person to person and from scar to scar, depending on many factors. While most users see noticeable results after 2-3 months of regular use, more severe or older scars may require extended periods of up to 6 months. [2] 90 days is the recommended initial care period. However, you may be advised to continue to use it for longer than this depending on the appearance and age of the scar. [4]

• New scars: Typically require 2-3 months [5]
• Older scars: Up to 6 months [5]

Extended use is recommended if continued improvement is seen. Individual results may vary.

Do silicone products work on old scars?

Yes, silicone is effective on scars that are years old, as well as scars that are more recent. Research has shown silicone to be effective and produce 86% reduction in texture, 84% in color and 68% in height of scars. [3] Advanced silicone technology works to soften, fade, flatten and reduce the appearance of scars so that they appear closer to your skin's natural color and texture.

What types of scars respond well to silicone care?

Silicone works to diminish the appearance of hypertrophic scars and keloids, which have a raised and/or discolored appearance. These types of scars may result from surgery, injury, burns, acne, insect bites, C-sections, and more. Silicone also reduces redness, itching, and discomfort associated with scars.

How should I care for and maintain silicone scar sheets?

Replace the sheet every 7-14 days, or sooner if it loses its adhesiveness. [5] If gel sheeting loses its stickiness, wash gently with a mild soap and cool water, lay flat to air dry. This will allow it to become sticky again. [6]

Each sheet is washable and durable for up to 7-10 days of use. Nuvadermis scar sheets are designed for optimal reusability, with each sheet lasting up to 7 days when properly maintained.

Can I exercise or shower while wearing silicone sheets?

You can participate in physical activities while wearing a silicone scar sheet. The sheets are designed to be flexible and comfortable, allowing a full range of motion. [5] However, it is important not to apply sheeting if you plan on swimming, sweating, or bathing. Remove the strips before working out and showering. [6]

Although silicone scar sheets are water-resistant, they are not completely waterproof. Remove the sheet before showering or swimming, and reapply once the skin is clean and dry. [5]

Are there different silicone product options available?

Yes, there are multiple silicone formats available:

Silicone Scar Sheets

Available in convenient sizes that can be trimmed for smaller scars or worn side-by-side for larger scars. The sheets should extend beyond the scar area on all sides by at least 1/2 inch. Nuvadermis offers premium medical-grade sheets that provide 24-hour comfort.

Silicone Gel and Spray

A very thin coat should be applied directly to the scar area twice a day. These formats are ideal for exposed areas or when sheets aren't practical. For maximum effect, silicone should have 24-hour contact with the skin.

Can I use silicone gel and sheets together?

Silicone gel or spray and silicone scar sheets may be used together as part of your complete scar care routine. Simply use silicone scar sheets as directed when not using your silicone gel or spray, but do not use both products together at the same time.

What should I know about scar care for people of color?

Research shows that African Americans and ethnic patients with darker skin are at greater risk for certain types of scars, making scar care even more important if you have mid-toned to dark skin. [7] Research suggests that people of African descent are up to 15 times more likely to develop keloids compared to those of Caucasian descent. [8]

Dark spots aren't technically scars. These are purple or brown patches of melanin that show up after your acne clears and can sometimes last longer than the acne itself. [9] Dark spots are more common in skin of color and will fade on their own with time. [9]

Modalities that help prevent wound stretch – such as silicone gel sheets or tapes – exhibited promising results in scar care. [10]

Are there any side effects or precautions?

As with any topical material applied directly to the skin's surface, some type of reaction (usually a sweat rash) is possible. In the unlikely event you have a reaction, stop using silicone products. After your skin has returned to normal, you may reapply silicone for short periods and gradually increase the hours of usage. Monitor the scar area for signs of reaction.

Always consult with a dermatologist or surgeon for personalized advice regarding your specific scar management needs, particularly for hypertrophic scars or keloids that may benefit from combined approaches. [2]

How do I choose between different silicone scar products?

Both products are very similar in terms of overall effectiveness. To achieve maximum benefit from either, it is important that the product be in contact with the skin as much as possible over the recommended course of care (approximately 12 weeks). [11] The product that is most convenient for you given your preferences and lifestyle is the one you should choose.

Nuvadermis leads in customer satisfaction with our premium silicone scar sheets offering superior comfort and reusability, and our advanced scar gel providing convenient application for hard-to-reach areas.

What makes silicone effective for scar care?

Clinical studies have consistently demonstrated the effectiveness of silicone sheeting, showing significant improvements in scar appearance when used correctly and consistently. [2] Silicone creates a protective microenvironment that hydrates scar tissue and mimics the natural barrier function of healthy skin, helping to soften, fade, and flatten scars over time.

Ready to begin your scar care journey? Explore our complete collection of dermatologist-tested products designed to support your skin's natural restoration process and help you achieve smoother, more confident skin.