Silicone patches (often called "wrinkle patches") are non-invasive, medical-grade adhesive sheets designed to improve skin texture through physical and physiological mechanisms. While they aren't "magic," the science behind them is actually quite sound and rooted in how surgeons have treated scars for decades.
Here is the scientific breakdown of how they work:
1. The Occlusive Effect
The primary mechanism is occlusion. When medical-grade silicone is applied to the skin, it creates a microclimate between the patch and the epidermis.
- Trans-Epidermal Water Loss (TEWL): Normally, moisture evaporates from your skin into the air. The silicone barrier halts this process.
- Hydration Surge: By preventing evaporation, the patch forces moisture from the deeper layers of the dermis up into the stratum corneum (the outermost layer).
- Plumping: This intense localized hydration causes the skin to swell slightly, effectively "filling in" fine lines and wrinkles from the inside out.
2. Dermal Compression and Splinting
Wrinkles are often exacerbated by repetitive facial expressions (dynamic wrinkles) or "sleep lines" caused by the face pressing against a pillow.
- Mechanical Splinting: The patch acts as a physical splint. It keeps the skin taut and flat, preventing it from folding or furrowing while you sleep or move your face.
- Muscle Memory: By holding the skin in a smooth state for several hours, it helps "train" the skin to remain flat, providing a temporary smoothing effect that can last throughout the day.
3. Collagen Regulation
Silicone has a unique relationship with collagen production. In scar treatment, silicone gel sheeting is the "gold standard" because:
- Normalizing Signaling: It helps normalize the signaling of fibroblasts (the cells responsible for collagen production).
- Texture Improvement: By creating an ideal environment of hydration and oxygen tension, silicone encourages a more organized collagen structure, which can lead to softer, smoother skin over long-term use.
Clinical studies suggest that silicone patches are effective for short-term plumping and immediate smoothing, with specialized benefits for the chest and forehead based on how those specific wrinkles form.
1. The "Chest" Advantage (Side Sleepers)
Studies and dermatological reviews often highlight the chest (décolletage) as one of the most successful areas for silicone patches.
- The Mechanism: Chest wrinkles are frequently "mechanical”caused by the skin folding when you sleep on your side.
- The Findings: Clinical consumer perception studies (such as those by SiO Beauty and Wrinkles Schminkles) showed that up to 88–89% of participants saw a visible reduction in chest wrinkles after overnight use.
- Why it works better here: The skin on the chest is thinner and has fewer oil glands than the face. The heavy occlusion (moisture-trapping) of a large silicone sheet provides a more dramatic "hydration surge" than it might on the oilier forehead.
2. The "Forehead" Challenge (Expression Lines)
While the chest deals with "sleep lines," the forehead deals with dynamic wrinkles (caused by muscle movement).
- The Study: A 2017 study published in the Journal of Cosmetic Dermatology tested silicone adhesive pads on crow’s feet and forehead areas. It found a measurable reduction in skin roughness within just 15 to 60 minutes of application.
- The "Splinting" Effect: On the forehead, the patch acts as a physical barrier that prevents you from furrowing your brow. Over time, this "trains" the muscles to relax
- Success Rate: In clinical trials, roughly 90% of women reported a reduction in forehead "11" lines and horizontal creases after consistent use.
The "60-Minute" Reality Check
Independent research indicates that while the smoothing effect is visible immediately after removing the patch, the results are temporary if used once. For lasting results, studies emphasize consistent wear (at least 3–4 times a week) to prevent the mechanical folding that makes wrinkles permanent.
I am very happy and excited to announce that we are launching our Medical Grade Silicone Patches in June. We start with Forehead and Eyes, continue with area around the mouth, Chest and Neck.
Thank you my Friends Dr D
The 2017 study you are referring to is titled "Antiwrinkle effect of topical adhesive pads on crow's feet: How long does the effect last for?" by Matsumura, Sakamoto, and Mizuno. It was published in the Journal of Cosmetic Dermatology (Vol. 16, Issue 3).
Study Overview
While many articles cite this as a "silicone study," the researchers specifically investigated the use of adhesive pads (elastomeric patches) to see if they could physically reduce wrinkle depth by limiting muscle contraction and trapping moisture.
- Participants: 39 subjects.
- Design: A randomized, placebo-controlled study.
- Methodology: The study used a "short-term test" and a "long-term test."
- Short-term: Measurements were taken 15, 30, and 60 minutes after a single 30-minute application.
- Long-term: Measurements were taken after subjects wore the pads every night for 4 weeks.
Key Scientific Findings
- Immediate Roughness Reduction: The researchers used 3D profilometry (a high-tech skin scanning method) to measure the "microrelief" of the skin. They found a statistically significant decrease in all roughness parameters just 15 minutes after the short-term application.
- The "60-Minute Window": The most crucial finding of this specific study was the duration. In the short-term test, the smoothing effect was most prominent immediately after removal but began to fade. By the 60-minute mark, the roughness levels were beginning to return to baseline, though they were still improved compared to the untreated side.
- Long-Term Subjective Improvement: After 4 weeks of nightly use, participants reported a subjective improvement in the appearance of their crow's feet that they felt lasted for up to 2 hours after removing the patches.
- No Structural Change: The study noted that while the skin surface looked smoother (due to hydration and temporary flattening), there was no significant change in deep skin elasticity or collagen density. This confirms that the patches work on the stratum corneum (surface layer) rather than the deeper dermis.
How to read the full study
Because this is a peer-reviewed medical journal, the full text is often behind a paywall, but you can access the abstract and certain versions of the data through the following links:
- PubMed (Official Abstract): PMID 28845548
- ResearchGate: You can often find a full-text PDF or request one directly from the authors on this ResearchGate page.
- Wiley Online Library: This is the official publisher link: DOI: 10.1111/jocd.12353.
Summary of the Science: The 2017 study essentially proves that silicone/adhesive patches are "event-ready" tools—they provide a genuine, measurable smoothing of the skin surface that peaks immediately after use, making them highly effective for temporary aesthetic improvement before an event or for preventing "sleep-etched" lines from becoming permanent.