Silagen
Silagen 100% Silicone Scar Gel (15 g) – Post-Surgical Scar Treatment
Silagen 100% Silicone Scar Gel (15 g) – Post-Surgical Scar Treatment
“My goal is to provide my patients with the highest quality, scientifically-backed solutions to support their wellness journey. Each product is formulated with that same commitment to excellence and efficacy.”
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Silagen 100% Silicone Scar Gel — Dr. Piazza's Post-Surgical Scar Step
Silagen 100% Silicone Scar Gel is the first step of the post-surgical scar protocol board-certified plastic surgeon Dr. Rocco Piazza uses for his breast and body patients in Austin, TX. It dries to a thin, flexible silicone layer that hydrates the scar and holds gentle occlusion over it while collagen is still remodeling, helping the scar flatten, soften and fade over time.
Why silicone for surgical scars
- The first-line topical for scars: Silicone gel and sheeting are the most widely recommended topical options in scar management guidelines for new surgical scars.
- Hydration and occlusion: The silicone layer reduces moisture loss from the scar, which helps calm the overactive collagen production behind raised, red or thick scars.
- Made for large incisions: A clear gel covers long or curved incisions, such as tummy tuck, breast lift, breast reduction and breast augmentation scars, where sheets can be hard to keep in place.
- Invisible under clothing: It dries quickly and can be worn under compression garments and bras.
How to use
- Start when cleared: Begin once your incision is fully closed and your surgical team has cleared you for topical care. Never apply to open wounds.
- Apply twice daily: Smooth a very thin layer over clean, dry skin and let it dry for a few minutes before dressing.
- Stay consistent: Dr. Piazza recommends following the scar protocol for the first 6 to 8 months after surgery.
- Add sun protection: Silicone alone is not a sunscreen. Once the scar is exposed to the sun, or as it starts to mature and lose its pink color (often around 12 weeks), switch to Silagen Scar Gel SPF 30.
Want both steps together? The Post-Surgery Scar Healing Kit includes this gel and Silagen Scar Gel SPF 30. Read Dr. Piazza's full post-surgical scar protocol.
Size: 15 g. Individual results vary. This product supports, and does not replace, your surgeon's instructions. Stop use and contact your care team if you notice irritation.
Questions, answered
When can I start silicone gel on a surgical incision?
When can I start silicone gel on a surgical incision?
How long do I have to use it before the scar actually changes?
How long do I have to use it before the scar actually changes?
Silicone sheets or gel — which does Dr. Piazza use for which scar?
Silicone sheets or gel — which does Dr. Piazza use for which scar?
The Piazza Protocols
Hand-selected by board-certified plastic surgeon Dr. Rocco Piazza, MD, FACS, to meet the highest standards in medical-grade skincare.
🛡️ Board-Certified Plastic Surgeon
🔬 Backed by Clinical Expertise & Research
Advanced Retinol Protocol
Reduce fine lines and improve skin texture through medical-grade retinoid therapy.
Brightening Complex Protocol
Target dark spots and uneven tone with clinical-strength brightening agents.
Clinical Acne Control Protocol
Clear active breakouts and prevent future acne with medical-grade formulations.
Advanced Retinol Protocol
Skin Preparation
Begin with gentle cleanser and barrier repair serum to prepare skin for active treatment.
Retinol Introduction
Introduce 0.25% retinol 2-3 times per week, monitoring for tolerance.
Gradual Increase
Increase frequency to nightly application as tolerated.
Strength Advancement
Progress to 0.5% retinol formulation for enhanced results.
Maintenance Phase
Continue nightly application with quarterly clinical assessments.
Brightening Complex Protocol
Assessment & Prep
Clinical photography and baseline assessment with gentle exfoliation.
Active Treatment
Apply brightening serum with hydroquinone alternative twice daily.
Enhancement Phase
Add vitamin C serum in morning routine for synergistic effects.
Progress Evaluation
Clinical reassessment and protocol adjustment as needed.
Long-term Maintenance
Continue maintenance regimen with SPF 50+ daily protection.
Clinical Acne Control Protocol
Barrier Restoration
Gentle cleansing and barrier support to prepare for active treatment.
Benzoyl Peroxide Introduction
Begin 2.5% benzoyl peroxide application every other evening.
Salicylic Acid Addition
Add 2% salicylic acid serum in morning routine for pore refinement.
Retinoid Integration
Introduce retinoid 2-3 times weekly for enhanced cell turnover.
Maintenance & Prevention
Continue full protocol with monthly clinical monitoring.
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Post-Surgery Scar Healing Kit – Silicone Scar Gel + SPF 30
Silagen 100% Silicone Scar Healing Gel FAQs
How does Silagen 100% Silicone Scar Gel work?
Silagen forms a transparent, breathable silicone barrier over the scar that locks in hydration and applies gentle, consistent pressure. This is the same mechanism used in medical-grade silicone sheeting, but in a fast-drying gel format. The hydration and occlusion signal the skin to slow excess collagen production - which is what flattens and fades the scar over time
When should I start using Silagen after surgery?
Start Silagen as soon as your incision is fully closed and any sutures or staples are removed - typically around 3 to 4 weeks after surgery - and only after your surgeon clears you. Do not apply to open wounds. Once cleared, daily use during the first 3 to 6 months of healing delivers the strongest results, because that is when scars are most actively remodeling.
How long should I use Silagen scar gel?
For most surgical scars, use Silagen twice daily for at least 60 to 90 days. Many patients continue for the full 6 months of active scar remodeling. Older scars can still benefit but typically require longer, consistent use to soften and fade.
Does Silagen work on old scars, keloids, or hypertrophic scars?
Yes. Silagen is most effective on newer scars (under 12 months) but also softens and fades older hypertrophic and keloid scars. For raised or thickened scars, Dr. Piazza may recommend pairing Silagen with in-office treatments such as steroid injections, laser resurfacing, or scar revision for stronger results.
Can I wear sunscreen and makeup over Silagen?
Yes. Silagen dries to a thin, flexible film in about 2 to 3 minutes. Once fully dry, you can apply sunscreen, makeup, or other skincare on top. UV protection over the scar is essential - sun exposure during healing is the most common cause of permanent dark scar pigmentation.
How long does a 15g tube of Silagen last?
A 15g tube typically lasts 30 to 60 days when used twice daily on a single surgical scar (such as a tummy tuck or breast augmentation incision). A little goes a long way - apply a thin, even layer rather than a thick coat.
What is the difference between silicone scar gel and silicone scar sheets?
Both use the same mechanism (silicone occlusion and hydration), and both are clinically proven to fade scars. Sheets are best for flat, accessible areas like a tummy tuck scar overnight. Gel is better for the face, joints, contoured areas, or anywhere a sheet won't stay in place. Many patients use sheets at night and gel during the day.
Are there any side effects?
Silicone scar gel is well tolerated by most skin types and is considered safe for sensitive skin. Stop use and contact The Piazza Center if you experience irritation, rash, or itching that does not resolve. Do not use on open wounds or active infections.