Answer:
The majority of reports in the literature on the use of silicone gel address its use in the management of hypertrophic scars and keloids. The mechanism of action is unknown and the results vary. Gold (J, Am. Acad. Derm, March 1994) reports a controlled clinical trial of topical silicone gel sheeting in the treatment of hypertrophic scars and keloids. His results: scars unchanged in 23.8%, 42.9% with minimal improvement, 33.3% with moderate reduction in scar thickness.