Best Silicone Sheets for Scars: Top Products Compared

Silicone sheets have emerged as a clinically-proven, non-invasive option for managing and improving the appearance of various types of scars. This comprehensive comparison examines the leading silicone sheet products on the market, evaluating their effectiveness, usability, and value to help you make an informed decision. Our analysis draws from clinical evidence, expert recommendations, and real user experiences to identify which products perform best for different scar types and treatment needs. Whether you're dealing with surgical scars, keloids, hypertrophic scars, or burn marks, selecting the right silicone sheet can significantly impact your scar treatment results.

Price vs Rating for Silicone Sheet Products

How Silicone Sheets Work for Scar Treatment

Silicone sheets function through several mechanisms to improve scar appearance. Their primary action comes from creating an occlusive, protective barrier over the scar area, which increases hydration and regulates the production of collagen - the protein responsible for scar formation9. This occlusion prevents excessive water loss through the stratum corneum (outer skin layer), helping to normalize the healing process9.

The effectiveness of silicone sheets isn't just theoretical. Clinical research has consistently supported their use, with multiple studies demonstrating significant improvements in scar appearance, texture, and discomfort. One large prospective study involving 224 patients found significant improvement in color, thickness, and elasticity for both hypertrophic scars and keloids after silicone sheet treatment8.

Beyond hydration, silicone sheets may work through additional mechanisms including slight temperature increases that enhance collagenase activity (which breaks down excess collagen) and the creation of a negative static electric charge that helps with collagen realignment9. Many sheets also provide UV protection, which is important as sun exposure can worsen scar pigmentation.

Types of Scars Addressable with Silicone Sheets

Silicone sheets have demonstrated effectiveness for various scar types:

Hypertrophic scars: Raised, red scars that remain within the boundaries of the original wound2
Keloid scars: Similar to hypertrophic scars but extend beyond the original wound boundaries2
Post-surgical scars: Including C-section scars, general surgery scars, and other procedural scarring2
Burn scars: Varying in severity and appearance2
Acne scars: Characterized by pitting or raised tissue2

For optimal results, treatment should begin as soon as the wound has completely closed and any stitches have been removed32. The sheets are typically worn for 12-24 hours daily over 2-6 months, depending on the scar's severity28.

Our Evaluation Methodology

Our comprehensive assessment of silicone sheet products considered multiple factors critical to treatment success:

Clinical evidence: Research supporting each product's efficacy
Adhesion quality: How well sheets stay in place during daily activities
Comfort and flexibility: Conformability to different body areas
Reusability: Durability with proper cleaning and maintenance
Size and customization: Adaptability for different scar types and locations
Special features: UV protection, waterproofing, or specialized designs
User satisfaction: Aggregate ratings and common themes in reviews
Value assessment: Price relative to durability and effectiveness

We analyzed manufacturer specifications, clinical studies, and hundreds of user reviews to develop a balanced assessment of each product's strengths and limitations across these dimensions.

Top Silicone Sheet Products Compared

Smith & Nephew Cica-Care Silicone Gel Sheeting

Cica-Care stands out as a clinically-validated option with impressive versatility and effectiveness for multiple scar types.

Pros:

Reusable with proper care
Easy to cut for custom sizing
Strong adherence and flexibility
Effective for both old and new scars (even up to 20 years old)
Up to 90% effectiveness in improving scar appearance7 10
Medically proven for hypertrophic and keloid scars6 10

Cons:

Edges may lose adhesion more quickly than center
Higher price point than some competitors

Cica-Care is a self-adhesive silicone gel sheet that has been used to treat over one million people worldwide7. Clinical evidence strongly supports its effectiveness in improving scar color, thickness, and elasticity across different scar types6. Its generous size (4.75" x 6") allows customization for various scar locations and shapes1.

Users report significant improvements even with older scars after consistent application. One Amazon reviewer with 8-year-old scars noted: "The scars are still visible, but definitely not as obvious as they once were. They are not as discolored as they were before. I was most impressed by the improvement of texture."1

Cica-Care is particularly recommended for hypertrophic scars, keloids, and older scars that haven't responded to other treatments16.

ScarAway Clear Silicone Scar Sheets

ScarAway offers a balance of effectiveness, convenience, and value that makes it a top choice for many dermatologists.

Pros:

Clear, nearly invisible on skin
Pre-cut into convenient sizes
Recommended by dermatologists
FDA-cleared medical-grade silicone technology
More affordable than some competitors
Available in opaque and translucent varieties1

Cons:

Can wrinkle during wear
Typically needs replacement every 7-10 days
Smaller standard size may require multiple sheets for larger scars

ScarAway was specifically named by dermatologists as a top recommendation for scar treatment1. The sheets create a protective barrier that helps regulate collagen production and improve scar appearance over time.

These sheets are particularly notable for their clear design, making them less noticeable during wear - an important consideration for visible scar areas. They're also pre-sized, eliminating the need for cutting in many cases.

Users consistently report positive outcomes, especially for surgical scars. One reviewer who used ScarAway after a double mastectomy shared: "I have been using it for a few months now, and I think it has helped make my scars soft and pliable like the surrounding tissue."1

ScarAway sheets are ideal for surgical scars, burn scars, and smaller keloids, especially when discretion is important14.

Hibiclens Mepiform with Safetac Technology

Mepiform sheets excel in flexibility and conformability, making them particularly effective for challenging scar locations.

Pros:

Waterproof design
Can be used on children
Exceptional flexibility that moves with the body
Thin profile for discreet wear
Highly effective for keloid scars
Generous size (4" x 7")1

Cons:

Higher price point ($80-87)
Does not match all skin tones
May require trimming for smaller scars

What distinguishes Mepiform is its Safetac technology, which allows the sheets to move with your body without lifting or bunching up1. This promotes consistent contact with the scar tissue, which is crucial for effective treatment.

The waterproof design is beneficial for active lifestyles, allowing normal washing without removing the sheet. Dr. Rambhia notes that Mepiform "provides gentle pressure and hydration to promote scar improvement."1

User reviews highlight exceptional results for C-section scars. One Amazon reviewer reported: "I have been using it for my C-section since the birth of my baby, and I noticed my scar improving in appearance. It's almost the color of my skin and a fine line, so you won't even notice I have a scar."1

Mepiform is particularly recommended for keloid scars, C-section scars, and scars in areas with frequent movement1.

Mederma Medical Grade Silicone Scar Sheets

Mederma's sheets offer unique benefits including UV protection and a breathable design for enhanced comfort.

Pros:

Breathable and comfortable
Can be cut into smaller strips
UPF 50 sun protection
Soft, pliable design
Effective for multiple scar types1

Cons:

Some report weaker adhesion
Smaller standard size (1.4" x 3")
May require more frequent replacement

Mederma's silicone sheets stand out for their UPF 50 protection, which helps prevent sun damage that could worsen pigmentation issues in healing scars1. This feature is particularly valuable for scars in exposed areas.

The breathable design enhances comfort during extended wear, which is essential for the consistent application needed for optimal results. Dr. Camp explains that "The silicone used in these sheets is formulated to make them soft, pliable, breathable, and effective at treating scars related to keloids, injuries, burns, and minor surgeries."1

Users appreciate both the comfort and effectiveness. One reviewer noted: "They are easy to apply, stay securely in place and are comfortable to wear throughout the day. I've noticed a significant improvement in the appearance of my scars after just a few weeks."1

Mederma sheets are particularly well-suited for scars with pigmentation concerns and those in sun-exposed areas15.

MyNewGel NewGel+ Advanced Silicone Treatment Sheeting

NewGel+ excels in reusability and value for extended treatments, with a design focused on discrete application.

Pros:

Clear, discreet appearance
Highly reusable with proper care
Convenient shape for certain scar types
Developed with physician input
Effective for both new and old scars1

Cons:

May not adhere as strongly as competitors
Higher initial price ($44)
Narrower width (1" x 6") limits versatility for some scars

NewGel+ strips are designed for maximum reusability, potentially offering better long-term value for extended treatments despite the higher initial cost. With proper cleaning and care, these strips maintain effectiveness for 2-3 weeks per application1.

The clear design provides a discreet appearance, which users appreciate for visible scar areas. The unique dimensions make them particularly well-suited for linear scars like surgical incisions.

Amazon reviewers report impressive results compared to other products. One user shared: "I got a pack of these sheets and used them on both a new scar and an old scar... So far, the new one is healing way faster than scars usually heal for me, and the old one's even looking a little better after a few weeks."1

NewGel+ is ideal for linear surgical scars, particularly for those seeking a reusable product for extended treatment periods1.

Kelo-cote C-Section Silicone Scar Sheet

Kelo-cote offers specialized design for C-section scars with a focus on comfort and discretion.

Pros:

Curved shape designed specifically for C-section scars
Flexible sheet can be cut to customize size
Lightweight and discreet under clothing
Provides UV protection (UPF30)
Self-adhesive, washable and reusable3 11

Cons:

Specialized design may limit versatility for other scar types
Higher price point
May require gradual building up of wear time

Kelo-cote's C-Section sheets feature a specialized curved design engineered specifically for the unique challenges of C-section scars. This thoughtful contour provides better adherence and comfort for the lower abdomen area compared to standard rectangular sheets311.

The sheets provide UV protection (UPF30), helping prevent sun damage that could worsen scar appearance11. They're also lightweight and thin enough to be worn discreetly under clothing - an important consideration for new mothers.

For optimal results, Kelo-cote recommends gradually increasing usage to 12-23 hours daily. The sheets should be applied once the wound has closed and any sutures have been removed3.

While the specialized design makes Kelo-cote ideal specifically for C-section scars, the curved shape may limit versatility for other scar types311.

Best Products by Scar Type

For Hypertrophic Scars

Top Recommendation: Smith & Nephew Cica-Care
Clinical evidence specifically supports Cica-Care's effectiveness for hypertrophic scars, with studies showing significant improvement in color, thickness, and texture68. Its strong adherence and durability make it particularly effective for these challenging raised scars.

For Keloid Scars

Top Recommendation: Hibiclens Mepiform
Mepiform's exceptional flexibility and strong adherence make it particularly effective for stubborn keloid scars. Users report significant flattening and fading of keloids that had been resistant to other treatments1. The sheet's ability to stay in place during movement helps maintain consistent contact, which is crucial for keloid improvement.

For Surgical Scars

Top Recommendation: ScarAway Clear Silicone Scar Sheets
For typical linear surgical scars, ScarAway offers an excellent balance of effectiveness, convenience, and value. The pre-sized sheets are particularly well-suited for common surgical incision lengths, and the clear design makes them less noticeable if the scar is in a visible location14.

For C-Section Scars

Top Recommendation: Kelo-cote C-Section Silicone Scar Sheet
The specialized curved design of Kelo-cote contours perfectly to the lower abdomen, providing optimal adherence and comfort specifically for C-section scars. The lightweight, discreet profile is particularly beneficial for new mothers311.

For Burn Scars

Top Recommendation: Mederma Medical Grade Silicone Scar Sheets
Burn scars often have pigmentation issues that benefit from Mederma's added UV protection. The breathable design enhances comfort for potentially sensitive healing burn areas, while the ability to cut sheets to size accommodates the often irregular shapes of burn scars1.

For Facial Scars

Top Recommendation: NewGel+ Advanced Silicone Treatment Sheeting
The clear, discreet appearance of NewGel+ makes it suitable for visible facial areas. The ability to cut these sheets into precise shapes accommodates the complex contours of facial features, while their reusability offers good value for the typically smaller sizes needed for facial application1.

Application and Effectiveness Considerations

Optimal Application Protocol

For maximum effectiveness with any silicone sheet product, follow these guidelines:

When to start: Begin using silicone sheets once the wound has completely closed and any stitches or staples have been removed23. The skin should be fully healed with no open areas.
Preparation: Clean and thoroughly dry the scar area before application3. Remove any lotions, oils, or creams from the skin.
Application time: For optimal results, wear silicone sheets for 12-24 hours daily2 816. Some products recommend gradually building up wear time, starting with 4-8 hours and increasing as tolerance develops3.
Duration of treatment: Continue treatment for 2-6 months, depending on the scar's age and severity2 816. Newer scars may show improvement more quickly than mature scars.
Maintenance: Clean sheets daily with mild soap and water, then allow to air dry before reapplying2. With proper care, most sheets can be reused for 1-4 weeks before replacement is needed.

Treatment Effectiveness Timeline

Expectations should be realistic regarding treatment timelines:

Initial phase (0-4 weeks): Minor improvements in texture and symptoms like itching may be noticeable
Intermediate phase (1-3 months): More significant improvements in color, thickness, and texture typically emerge
Extended phase (3-6 months): Maximum improvement is usually achieved; some scars may require continued treatment

A large clinical study showed that consistent application for at least three months, with a minimum of four hours daily wear (preferably 12+ hours), produced optimal results8. Treatment efficacy was demonstrated for scars of all ages, though younger scars (less than 3 months old) showed more significant improvement in some parameters8.

Expert Recommendations and Clinical Evidence

The medical community strongly endorses silicone sheets as a first-line treatment for scars. The 2001 International Advisory Panel on Scar Management concluded that silicone gel sheeting is "a viable first-line treatment choice" for hypertrophic and keloid scars17. This consensus has been reinforced in subsequent clinical guidelines, with silicone sheets remaining the gold standard for non-invasive scar management9.

A survey referenced in our research found that 18% of plastic surgeons use silicone sheets for 79% of their keloid treatments, indicating strong professional confidence in this approach17. Major medical institutions, including the Maricopa County Burn Center, routinely incorporate silicone sheets into their scar management protocols17.

Clinical evidence specifically supports several of our reviewed products:

Cica-Care: Multiple clinical studies demonstrate its effectiveness for improving scar color, thickness, and elasticity6 10
Kelo-cote: A study of 1522 patients showed high satisfaction rates, with physicians rating improvement as "good" or "very good" in 70-84.2% of cases14
General silicone sheets: A large prospective study of 224 patients showed significant improvement in color, thickness, and elasticity for both hypertrophic scars and keloids8

While silicone sheets are highly effective, experts note they may not completely eliminate scars. For severe scarring, professionals often recommend combining silicone sheets with other treatments such as steroid injections, pressure therapy, or laser treatments18.

Price Comparison and Value Assessment

Average Prices of Silicone Sheet Products

When evaluating silicone sheets, consider both initial cost and long-term value:

Initial Price Range (US market):

Budget option: ScarAway ($24)
Mid-range: Mederma ($24.99), Smith & Nephew Cica-Care ($19-29.99)
Premium: Hibiclens Mepiform ($80-87), MyNewGel+ ($44)

Reusability Impact on Value:
Most silicone sheets can be reused with proper cleaning, significantly affecting cost per treatment day:

ScarAway: 7-10 days per sheet4
Cica-Care: Up to 28 days with proper care7
Kelo-cote: Washable and reusable for multiple applications3 11
NewGel+: Reusable with gentle washing1

Treatment Duration Considerations:
A typical treatment course lasts 2-6 months2 8 16, meaning multiple sheets may be needed:

For a 90-day treatment using ScarAway (assuming 10-day sheet life): Approximately 9 sheets needed
For a 90-day treatment using Cica-Care (assuming 28-day sheet life): Approximately 3-4 sheets needed

Size and Cutting Efficiency:
Larger sheets that can be cut into multiple pieces offer better value for smaller scars:

Cica-Care's 4.75" x 6" sheet can potentially be cut into 4-6 pieces for smaller scars1
Mepiform's 4" x 7" sheet provides generous coverage for larger scars or multiple smaller areas1
Pre-cut options like ScarAway (1.5" x 3") offer convenience but less cutting flexibility1

Value Factors Beyond Price:

Added features like UV protection (Mederma, Kelo-cote)1 11
Specialized designs for specific scar types (Kelo-cote C-section)3 11
Waterproof capabilities (Mepiform)1
Transparency for visible areas (ScarAway Clear, NewGel+)1

For the best overall value, consider both your specific scar needs and the full treatment duration. While premium options have higher upfront costs, their superior reusability may offer better long-term value for extended treatments.

User Experiences and Satisfaction

User experiences provide valuable insights into real-world performance beyond clinical claims:

Smith & Nephew Cica-Care:

Most praised feature: Effectiveness for older scars
Common feedback: Significant improvement in texture and color
Typical timeline: Changes noticeable within 3-4 weeks
Satisfaction rating: 4.5/5 stars on Amazon1
Representative review: "My scars are about eight years old now... The scars are still visible, but definitely not as obvious as they once were. I was most impressed by the improvement of texture."1

ScarAway:

Most praised feature: Discreet appearance
Common feedback: Effective for surgical scars
Typical timeline: Improvement within 4-8 weeks
Satisfaction rating: 4.2/5 stars on Amazon1
Representative review: "I had a double mastectomy... I think it has helped make my scars soft and pliable like the surrounding tissue."1

Hibiclens Mepiform:

Most praised feature: Flexibility and conformability
Common feedback: Superior for C-section scars
Typical timeline: Some report improvements within weeks
Satisfaction rating: 4.4/5 stars on Amazon1
Representative review: "I have been using it for my C-section since the birth of my baby, and I noticed my scar improving in appearance. It's almost the color of my skin and a fine line."1

Mederma Silicone Sheets:

Most praised feature: Comfort during wear
Common feedback: Good adhesion and visible improvement
Typical timeline: Several weeks for noticeable changes
Satisfaction rating: 4/5 stars on Amazon1
Representative review: "They are easy to apply, stay securely in place and are comfortable to wear throughout the day. I've noticed a significant improvement in the appearance of my scars after just a few weeks."1

MyNewGel NewGel+:

Most praised feature: Reusability and effective results
Common feedback: Fast action compared to other products
Typical timeline: Results within weeks
Satisfaction rating: 4.1/5 stars on Amazon1
Representative review: "I've tried other scar gels and strips, and none worked quite this fast or well."1

Common Challenges Across Products:

Adhesion issues: Primary complaint for all products
Skin irritation: Some users report itching or redness with extended use
Value concerns: Many express hesitation about price points

Overall, users who report the most positive outcomes emphasize consistent application and realistic expectations. Most successful users wear the sheets 12-24 hours daily and continue treatment for several months.

Buying Guide: How to Choose the Right Product

When selecting a silicone sheet for your scar, consider these key factors:

1. Scar Type and Location

For curved areas or joints: Choose highly flexible options like Mepiform or Kelo-cote
For visible areas: Consider clear options like ScarAway Clear or NewGel+
For specific locations: Consider specialized designs (e.g., Kelo-cote for C-section scars)
For large or irregularly shaped scars: Select larger sheets that can be cut (e.g., Cica-Care)

2. Skin Sensitivity Considerations

For sensitive skin: Mederma's breathable design may cause less irritation
For prolonged wear comfort: Thinner, more flexible options like Mepiform
For potential allergies: Confirm the product contains only medical-grade silicone without additives

3. Treatment Duration Planning

For short-term use (1-2 months): ScarAway offers good initial value
For extended treatment (3+ months): Highly reusable options like Cica-Care may offer better long-term value

4. Additional Features to Consider

UV protection: Valuable for exposed areas (Mederma, Kelo-cote)
Waterproof capabilities: Important for active lifestyles (Mepiform)
Reusability: Impacts overall treatment cost (Cica-Care, NewGel+)
Discretion: Clear options for visible areas (ScarAway Clear, NewGel+)

5. Purchasing Guidelines

To ensure product authenticity and best value:

Purchase from authorized retailers or directly from manufacturers
Check for proper packaging with clear manufacturer information
Look for lot numbers and expiration dates
Be wary of significantly discounted prices, which may indicate counterfeits18
Consider manufacturer coupons ($5 off for ScarAway, $3 off for Mederma)18

Conclusion: Our Top Recommendations

After comprehensive evaluation of the best silicone sheets for scars, our top recommendations are:

Best Overall: Smith & Nephew Cica-Care Silicone Gel Sheeting
With strong clinical backing, excellent reusability, and effectiveness for both new and old scars, Cica-Care delivers consistent results across various scar types. Its generous size allows for customization, while its durability provides excellent long-term value despite a higher initial price.

Best Value: ScarAway Clear Silicone Scar Sheets
Offering a balance of effectiveness, convenience, and affordability, ScarAway provides excellent results at an accessible price point. Its clear design and endorsement from dermatologists further enhance its value proposition.

Best for Specific Scar Types:

C-section scars: Kelo-cote C-Section Silicone Scar Sheet
Keloid scars: Hibiclens Mepiform with Safetac Technology
Hypertrophic scars: Smith & Nephew Cica-Care
Burn scars: Mederma Medical Grade Silicone Scar Sheets

Success with any silicone sheet product depends on consistent application (12-24 hours daily), proper maintenance, and patience through the recommended 2-6 month treatment duration. While complete scar elimination is rarely possible, significant improvement in appearance, texture, and comfort is achievable with dedicated use of quality silicone sheets.

For optimal results, begin treatment as soon as your wound has completely closed, follow the manufacturer's specific application instructions, and maintain consistent use throughout the recommended treatment period. By carefully considering your specific scar characteristics and treatment needs, you can select the silicone sheet product most likely to deliver the best possible results for your unique situation.

Wednesday, March 26, 2025