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PARIS -- In high-risk patients, the prophylactic use of silicone gel sheeting immediately after surgery reduces by nearly half the chances of hypertrophic scars and keloids developing afterward, Dr. Michael Gold said at the 20th World Congress of Dermatology.
Topical silicone gel sheeting has been used for more than 20 years to help reduce the size of hypertrophic scars and keloids. But less has been known about how the material could be used prophylactically, said the dermatologist, who has a Nashville, Tenn.-based private practice.
When hypertrophic scars and keloids were treated by laser removal and covered with silicone gel sheeting, 12.5% of the scars recurred, compared with a 37.5% recurrence rate when the sheeting wasn't applied (J. Am. Acad. Dermatol. 30[3]:506-7, 1994).
In this latest study 50 high-risk patients with a history of hypertrophic and keloid scarring were compared with 50 low-risk patients ...