Patients were observed and the results were compared at monthly follow up examinations. A keloid is instead classified as a scar red to brown in colour, very elevated, larger than the wound margins very hard and sometimes painful or pruritic with no spontaneous regression.

We classified hypertrophic scar as a red or dark pink, raised (elevated) sometimes itchy scar confined within the border of the original surgical incision, with spontaneous regression after several months and a generally poor final appearance. The appearance of scar, including scar type, scar size and scar color was assessed by the physician. The scars were evaluated at monthly intervals. For fresh scars, treatment was started just days after wound closure or after 5-10 days. It was rubbed with fingertips for 2-3 minutes. The silicone gel was applied as a thin film twice a day. Also, prior approval of hospital ethical committee was taken before the study. Written informed consent was taken from all the patients before the study.

The study enrolled 30 patients having scars. Silicon gel exerts several actions which may explain this benefit in scars: It has been reported to be effective and produce 86% reduction in texture, 84% in color and 68% in height of scars. It has a self drying technology and itself dries within 4-5 minutes. It spreads as an ultra thin sheet and works 24 hours per day. Long chain silicone polymers cross link with silicone dioxide. Silicone gel contains long chain silicone polymer (polysiloxanes), silicone dioxide and volatile component.

This study was undertaken to verify the efficacy of a new topical silicone treatment a self-drying spreadable gel that needs no means of fixation and cannot be seen because of complete transparency. All these problems are more troublesome to the individual patient, particularly when the scar cannot be hidden by clothes. Scar contractures also can determine disabling physical deformities. Other psychological sequelae include posttraumatic stress reactions, loss of self esteem and stigmatization leading to a diminished quality of life. They frequently determine aesthetic impairment and may be symptomatic, causing itching, tenderness, pain, sleep disturbance, anxiety, depression and disruption of daily activities. Scars vary greatly in quality, depending on individual and racial patient features, the nature of the trauma, and the conditions of wound healing.

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