Scars tell stories—but not everyone wants them to. Whether from surgery, burns, or injury, visible scarring can affect not just skin health but also self-confidence. For decades, medical-grade silicone has been the gold standard in scar management, proven to soften, flatten, and fade scars over time.

Clinical research confirms that both silicone gel and silicone sheets significantly reduce scar thickness, discoloration, and discomfort by improving hydration and balancing collagen production (Bleasdale et al., 2015). Yet, many patients wonder—which one works better?

This guide from Rejûvaskin, trusted worldwide by physicians and patients alike, breaks down the differences between gels and sheets and introduces clinically tested options like Scar FX Silicone Sheets, Scar Esthetique Cream, and RejûvaSil Silicone Scar Gel.

How Silicone Works: Occlusion, Hydration, and Collagen Regulation

Silicone therapy is effective because it creates a protective, breathable barrier that locks in moisture and regulates fibroblast activity—the cells responsible for excessive collagen buildup that causes raised scars. Studies show that this occlusion and hydration mechanism helps normalize scar formation and restore smoother, flatter skin (Hoeksema et al., 2013).

Silicone sheets tend to be more occlusive, while gels offer flexibility and ease of use for mobile or hard-to-cover areas. The key to success with either is consistent, long-term use, especially during the early healing phase.

Silicone Gel vs. Silicone Sheets: What the Research Says

A 2014 study comparing the two forms found no significant difference in efficacy—both were equally effective at reducing redness, height, and stiffness in scars. However, gels were rated as more convenient for daily use (Kim et al., 2014).

Further meta-analyses and randomized controlled trials reaffirmed that both silicone gels and sheets significantly improve scar thickness, pliability, and pigmentation compared with no treatment (De Decker et al., 2022), (Pruksapong et al., 2020).

The takeaway? Both work exceptionally well. The choice depends on your lifestyle, the location of your scar, and your skin’s needs.

Rejûvaskin Silicone Scar Solutions: Designed for Every Scar, Every Lifestyle

1. Scar FX® Silicone Sheets

• Ideal for post-surgical or larger scars (like C-sections, breast, or orthopedic surgery).

• Creates a consistent healing environment through continuous occlusion.

• Reusable, washable, and lasts up to 4–6 weeks per sheet.

• Backed by clinicians for over 20 years and trusted in hospitals worldwide.

Best for: Stationary areas or overnight wear where coverage is easy and consistent.

2. RejûvaSil® Silicone Scar Gel

• Provides medical-grade scar protection in a lightweight, quick-drying gel.

• Perfect for faces, joints, and flexible areas where sheets won’t adhere.

• Contains 100% pure medical silicone, plus Vitamin C and Squalane to enhance hydration and tone.

• Clinically shown to reduce redness, discoloration, and itching associated with scars.

Best for: Active individuals and facial scars that need invisible, all-day protection.

3. Scar Esthetique® Silicone Cream

• Combines silicone with 23 skin-restoring ingredients, including Vitamin C, Coenzyme Q10, and natural botanical extracts.

• Targets older or discolored scars, blending medical science with nourishing skincare.

• Helps restore tone and flexibility while supporting the skin’s natural repair process.

Best for: Fading long-term or unevenly pigmented scars while improving skin texture and brightness.

Choosing the Right Silicone Treatment

Silicone Sheets:

• Pros: Maximum occlusion, long wear, reusable

• Cons: Less practical for curved or mobile areas

Silicone Gels:

• Pros: Invisible, flexible, and ideal for joints or visible scars

• Cons: Requires consistent reapplication

Silicone Creams (like Scar Esthetique):

• Pros: Enhanced with antioxidants and peptides for long-term repair

• Cons: Slightly less occlusive but excellent for maintenance

Rejûvaskin Recommendation:
For new scars—start with Scar FX Sheets at night and RejûvaSil Gel during the day for continuous 24-hour care. For older or discolored scars, transition to Scar Esthetique Cream for lasting results.

Tips for Optimal Results

1. Start early. Begin silicone therapy once the wound is fully closed (about two weeks post-procedure).

2. Be consistent. Wear or apply silicone for at least 12 hours a day, ideally for 2–3 months.

3. Stay gentle. Avoid harsh exfoliants or fragrances on healing skin.

4. Hydrate and protect. Keep the area moisturized and use sunscreen daily to prevent hyperpigmentation.

Science-Backed Confidence, Powered by Silicone

Silicone scar treatments remain the gold standard—endorsed by surgeons, dermatologists, and patients alike. Whether you prefer the structure of silicone sheets or the versatility of silicone gels and creams, consistency is the key to smoother, healthier-looking skin.

Rejûvaskin’s scar care collection—Scar FX®, RejûvaSil®, and Scar Esthetique®—provides clinically proven, physician-recommended solutions for every scar type, lifestyle, and stage of healing.

Works Cited

• Bleasdale, B., Finnegan, S., Murray, K., Kelly, S., & Percival, S. (2015). The use of silicone adhesives for scar reduction. Advances in Wound Care, 4(7), 422–430. Link

• Kim, S., Choi, J., Lee, J., Kim, Y., & Jun, Y. (2014). Prevention of postsurgical scars: Comparison of efficacy between silicone gel sheet and topical silicone gel. Journal of Korean Medical Science, 29(S3), S249–S253. Link

• De Decker, I., Hoeksema, H., Verbelen, J., Vanlerberghe, E., & Monstrey, S. (2022). The use of fluid silicone gels in the prevention and treatment of hypertrophic scars: A systematic review and meta-analysis. Burns Journal. Link

• Pruksapong, C., Burusapat, C., & Hongkarnjanakul, N. (2020). Efficacy of silicone gel versus silicone gel sheet in hypertrophic scar prevention. Plastic and Reconstructive Surgery Global Open, 8(9). Link

• Hoeksema, H., De Vos, M., Verbelen, J., Pirayesh, A., & Monstrey, S. (2013). Scar management by means of occlusion and hydration: A comparative study of silicones versus a hydrating gel-cream. Burns, 39(7), 1437–1448. Link

• Choi, J., Lee, E. H., Park, S., & Chang, H. (2015). Regulation of transforming growth factor β1, platelet-derived growth factor, and basic fibroblast growth factor by silicone gel sheeting in early-stage scarring. Archives of Plastic Surgery, 42(1), 20–27. Link