“Superior” rating is given to products that have the characteristic described at the top of the respective column, while a “Poor” rating is given when a product lacks the respective characteristic. "N/A" rating is given when the manufacturer does not provide adequate information for the characteristic described. Ratings are based on manufacturer’s labeling and marketing statements at the time when this table was last updated. Last update: March, 2013.
Unfortunately, scar tissue does not regenerate, which is why it looks different in appearance compared to natural skin tissue. Scars can even form as raised, red lumps on the skin’s surface. These scars are most commonly referred to as Keloid-Hypertrophic Scars.
Scars can naturally diminish in appearance over time, but they do not heal completely unless treated. There are various ways to treat scars, including surgery. However, more invasive methods for scar removal create higher health risks and tend to be expensive.
While removing a scar completely is something that many people strive to achieve, there is really no way to completely remove a scar. However, there are methods available that can diminish the appearance of an unwanted scar, making it less noticeable. Surgery and laser treatments are both options for managing unsightly scars, but both of these methods can not only lead to additional scarring, but they can also be expensive. There are topical creams, serums, lotions and gels that are specifically formulated to reduce the appearance of scars in as little as 90 days. It has been shown that over-the-counter scar treatment and management products are a less invasive alternative to surgery, and or laser treatments. Scar gels containing medical-grade silicones have been shown to reduce the appearance of scars and provide a barrier to help protect a scar as it heals.
Scar Removal Product: There are various scar “removal” products available in today’s market that can help diminish the appearance of unsightly scars but we can assure you, that no over-the-counter product is currently available that has been clinically proven to physically “remove” a scar 100%. If any product tells you that it can make your scar completely go away than you should be skeptical. All of the above products can help you to manage and/or treat abnormal scarring. If you refer to the above grid, you can see that all of the research has been done for you. It has been designed to help you compare some of the top products which are available for over-the-counter purchase. One of the key ingredients to look for in a scar management treatment product is medical-grade silicone. Medical-grade silicone has been clinically shown to help reduce the appearance of all types of scars1. Products such as SCARprin™ contain specific silicone gels that will help to minimize the appearance of any type of scar. As you go through the product reviews, make sure you look for the products containing silicone.
Scar Removal Gels: Many Leading topical scar removal gel products are available on the market today. Scientific studies have shown that gel-based products have the ability to absorb into the skin faster than cream-based products because they are lighter. The best topical scar gels contain 100% medical-grade silicone which provides a protective barrier over the scar and helps to prevent bacteria from infiltrating your scar site, which can slow down the healing process. Originally, silicone sheeting was the only method of applying silicone to scars. This method is still used today. However, it is expensive, and is difficult to apply to certain scar areas. Gels are much less expensive than their original counterpart and, the products which contain 100% medical-grade silicone, are able to achieve the same outstanding results. Scar gels are easy to use, help to moisturize the area and, once absorbed into the skin, you can easily apply makeup to the area or wear your favorite outfit over the area without any concerns. Medical-grade silicone has also been shown to help reduce the discomfort and itching that is associated with scars while significantly reducing the appearance of scars2.
Scar Removal Creams: Scar removal creams are a safe, over-the-counter solution for scar removal. Scar creams are similar to scar gel treatments. Both are easily applied to the scar and have the ability to moisturize the area. Cream-based products may not absorb into the skin as fast as gel-based products, but several cream-based products also contain medical-grade silicone. Cream-based scar removal products that contain medical-grade silicone have the ability to also moisturize the skin, while acting as a barrier. However, the healing time with scar removal creams will be longer since creams cannot provide undiluted medical-grade silicone because of the base ingredients. Both creams and gels have the potential to dramatically reduce the appearance of scars, especially if they contain undiluted medical-grade silicone. Based on scientific research, medical-grade silicone is a key ingredient in the scar removal products which have been clinically proven to significantly reduce the appearance of scars.
Plastic Surgery Scars: Many factors can affect the healing of plastic surgery scars such as genetics, certain illnesses, nutrition, age, skin quality, circulation and age. Smoking can drastically impact your body’s ability to heal so, if you can quit smoking, or at least cut back, it will help you heal. Plastic surgery scars typically develop on areas of the skin where silicone sheeting is not an option. If this is the case, a silicone serum-based scar management treatment product may be your best option. Serum-based scar removal products which contain 100% undiluted medical-grade silicone have been shown to significantly reduce the appearance of plastic surgery scars safely and effectively. Remember to check with your surgeon to ensure that the wound has healed sufficiently before applying any type of scar management product to a surgery site.
Keloid Scars: During the normal healing process of a wound, the body produces a protein called collagen which works in conjunction with skin cells and fibroblasts. These cells are sent to the injury site where they build up tissue to repair the damage at the wound site. These cells continue to multiply until the wound is filled in and healed. With Keloid scars, the multiplication of the fibroblasts continues long after the wound has healed which results in raised, red, painful, itchy areas of scar tissue which extend beyond the area of the original scar site. Although Keloid scars can occur anywhere on your body, quite often they form in the chest, shoulders and upper back. It is estimated that Keloid scars occur in 10% of people and can occur as a result of surgery, minor injuries, acne and even insect bites3. Luckily we live in a time where medical advances have led to the development of incredible scar management treatments and scar removal products containing silicone which help to diminish the discoloration and appearance of Keloid scars while providing relief from the itching and discomfort that is associated with this type of scarring4.
- Q. What is a Scar ?
A. Scars are the physiological healing result of any trauma to the skin where the dermis (deep layer) of the skin has been injured. A Scar naturally occurs to bind the edges of a wound together.
- Q. How long does it take for a Scar to Heal?
A. Complete healing depends on the size and depth of the wound, the location of the scar, your age, health and genetics.
- Q. How Long Will it Take to begin to see improvements in my older scar?
A. For older scars, you should begin to see results in 45-90 days depending on the type and age of the scar.
- Q. What is a Keloid Scar?
A. Keloid Scars are thick, rounded, irregular clusters of Scar tissue that extend beyond the original wound. Keloids may occur at any age, but tend to develop more readily in younger individuals and in darker-skinned people.
- Q. How Long Will it Take to Make a Scar Less Visible?
A. While results vary from person to person, a good Scar Management Treatment Product could show results as early as six weeks (or sooner) when used as directed. However, prolonged use will maximize the benefits of the product. The Scar product should be applied twice a day - in the morning and at night. Re-application may be necessary if the area is washed.
- Q. What is a Hypertrophic Scar?
A. Hypertrophic Scars are usually red, thick and elevated and can be itchy or painful. The growth of hypertrophic Scars is confined to the boundaries of the original wound, and usually begin to develop within the first few weeks after the trauma (linear hypertrophic Scar ) or burn injury (widespread hypertrophic Scar ).
- Q. Can Scar Treatment Products Be Used on Stretch Marks?
A. Yes, good Scar Management Treatment Products can reduce the appearance of stretch marks and help to reduce the appearance of discoloration associated with stretch marks.
- Q. What Should Good Scar Treatment Products Contain?
A. Superior Scar Management Treatment Products contain undiluted silicone based ingredients which create a waterproof flexible barrier over the Scar^ preventing an infiltration of bacteria. This also allows the Scar to retain moisture from the surrounding healthy skin, which in turn helps to reduce the appearance of the Scar^.
- Q. How Long Do Scars Stay Red?
A. The redness is (partially) caused by blood flowing through the tissue. This indicates healing activity. Commonly, Scars stay red for several months but this varies from person to person. However, a good Scar Treatment Product will help drastically reduce this appearance.
- Q. Will Scars Fade Over Time?
A. Yes, the appearance of most Scars will improve in time. However, in some cases, scars may become problematic since there is a risk of a Scar becoming Hypertrophic or a Keloid. If you have had Keloid or Hypertrophic scars in the past, there is a high likelihood of a recurrence. These risks can be reduced by using a scar management product containing silicone gel.
- Q. Should I Use Vitamin E Oil on my Scar?
A. Studies have shown the use of vitamin E on Scars does not improve them. In fact, in one third of the cases, this caused the Scars to worsen! That's why many Dermatologists and experts discourage the use of vitamin E oil on Scars. The right Scar Treatment Management Product will make a huge difference in the appearance of the Scar .
- Q. Is silicone gel Scar Management Treatment a new scar treatment?
A. Silicone gel Scar Treatment was first used by Doctors in1981,4,for the treatment of hypertrophic scars. Overtime many clinical studies and trials of topical application of silicone gel have been conducted proving the efficacy of the use of silicone gel use in scar management treatment. These studies show that silicone gel helps to reduce the appearance and intensity of Scars while providing easy application and a reduction in discomfort.
- Q. Will all scar creams and gels work for all types of scars?
A. No, make sure that you read what type of scars can be treated with the specific product and ensure that the products contain silicone. Only a few products on the market, like Scarprin, state that they can be used to treat all types of scars.
- Ahn ST, Monafo WW, Mustoe TA. Topical silicone gel for the prevention and treatment of hypertrophic scars. Arch Surg. 1991;126:499-504.
- J Cutan Aesthet, The Efficacy of Silicone Gel for the Treatment of Hypertrophic Scars and Keloids Surg. 2009 Jul-Dec; 2(2): 104–106.
- J Clin Aesthet Dermatol. 2010 November; 3(11): 39–43.