So, What Do I Put on This Wound? The Wound Dressing Puzzle: Part III

Cynthia A. Worley


Dermatology Nursing. 2005;17(4):299-300. 

In This Article

Silicone Dressings

Silicone dressings have been used by plastic surgeons for several decades as a method of scar reduction and preventing keloid formation. Manu facturers have recently begun adding this type of dressing to their products as demand has increased. Usually consisting of cross-linked polymer fibers bound to a matrix of mesh or fiber, these dressings are used over a period of time to reduce hypertrophic scarring. They have been used in deeper wounds to stimulate granulation tissue formation and to protect nonviable fascia and for pain control under negative pressure wound therapy.

Silicone dressings are relatively easy to apply, reusable (can be rinsed off and reapplied), and come in a variety of sizes. Manufacturers of the adhesive bandage type dressings have begun incorporating (and marketing to consumers) silicone into these dressings for scar reduction.

Silicone dressings have an impressive "natural" adhesive property which can make application, especially when wearing gloves, a challenge.

Cica-Care Adhesive Silicone Gel Sheet (Smith & Nephew, Inc.), Mepiform® for Scar Management (Molnlycke Health Care), Oleeva® (Bio Med Sciences, Inc.)


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