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Introduction: In the natural process of wound healing a scar is formed, which by its build, colour, and function does not resemble healthy tissue. This concerns not only the appearance of the outer integument, but above all, the deeper layers, which are also subject to the process of scarring. In some cases, a disorder of the decomposition and synthesis of collagen takes place and then hypertrophied scars and colloids are formed. Therefore, in physiotherapeutic practice, a scar should be seen in the three-dimensional aspect. Oncology patients can have so-called silicone dressings applied in the healing process of hypertrophied scars and colloids. The therapy using plasters with silicone gel is safe and non-invasive. Aim of the research: To assess the impact of silicone plasters on postoperative scars in the rehabilitation of women after mastectomy. Material and methods : The study, in which women after mastectomy took part, was performed in the Holycross Cancer Centre in Kielce. The assessment of a postoperative scar was based on the Patient and Observer Scar Assessment Scale (POSAS). Results and conclusions: Silicone dressings applied on a postoperative scar influenced its flexibility, colour, and size. The achieved results are satisfactory, and the applied method is effective and promising. However, the methods used to assess the scar, which are commonly recommended but not quite objective, raise some reservations and doubts among the authors.

Scarring is a natural process of wound healing. In some cases, however, there is formation of hypertrophic scars and keloids that are the result of collagen decomposition and synthesis. A disturbed scarring process causes functional, aesthetic, and psychological disorders in the patient. Silicone dressings in the form of plasters or gel are used in the treatment of hypertrophic scars and keloids. A case of pressotherapy of a postoperative scar with the use of non-sterile silicone dressings in a 56-year-old patient treated for breast cancer is described herein. The use of a 2-month pressotherapy of the scar resulted in an improvement in all the assessed parameters. Pressotherapy of the postoperative scar in the patient after mastectomy proved to be an effective and promising method. However, the methods of the scar assessment before and after treatment need objectivity.