Best Scar Cream: 10 Effective Options for Smoother Skin

Scars are a fact of life—some of us have big ones, and some of them have small ones, but almost everyone has a physical reminder of a tumble, acne, or surgery. I've had a large scar on my upper lip since I was in a car accident in my teens. A dermatologist initially helped me, but I've been searching for the perfect scar cream for ages. I've curated a list of the top performers based on proven results, quality ingredients, and scientific backing to help you fade scars and have smoother, healthier skin.

Our top picks for the best scar creams

What to look for in a scar cream

Types of scars

There are different kinds of scars and the recommended treatment for each varies. Identifying the type of scar you have is the first step to treating it effectively. If you’re unsure what type of scar you have, a dermatologist can help you determine that and which ingredients are most effective to help fade the scar.

Ingredients

Scar creams have similar ingredients to moisturizing formulas like night creams, creams for eczema, and eye creams. However, like stretch mark creams for pregnancy, there are specialized ingredients included to help address scars:

• Silicone: A common ingredient in scar creams that is proven to reduce the appearance of scars.
• Vitamin E: Aids in skin regeneration and healing.
• Onion extract: May improve scar texture and reduce inflammation

Sunscreen

A scar cream with SPF will help prevent the UV rays from causing further discoloration of your scar. For extra protection, make sure you’re wearing an additional SPF, whether it’s a mineral sunscreen, tinted sunscreen, or sport sunblock.

Brand reputation

There are a lot of products on the market that claim to reduce scars, and while you can discover great formulas from brands you haven’t heard of, remain skeptical of claims. A cream can reduce the appearance of scars, but there is a limit on what over-the-counter ingredients can do. If a product seems too good to be true, it probably is. If you’re having a hard time finding information on the product, proceed with caution.

How did we select the best scar creams?

When choosing the best scar creams, I searched for the top-reviewed products that are medically backed and have proven results. The most important feature in my search was finding options from reputable skincare companies that are trustworthy, thoroughly tested, and vetted by scientists to ensure safety.

I prioritized cost, as scar creams require application over an extended period and may need to be purchased multiple times to see peak results. I also looked for options that had silicone and hyaluronic acid, as both are reliable ingredients for reducing the appearance of scars. I leveraged reviews, ratings, and studies to ensure I recommended the best scar creams the market offers.

What are the different types of scars?

Atrophic scars

One of the most common causes of these scars are acne, chickenpox, or other conditions. These flat, indented scars form from a loss of underlying tissue.

Hypertrophic scars

More common in people with darker skin tones, these scars are raised, red, and remain within the boundaries of the original wound.

Keloid scars

These can be some of the most challenging scars to treat. They are raised and itchy and grow beyond the boundaries of the original injury. They are more common in people with darker skin tones.

Contracture scars

Often caused by burns or deep wounds, contracture scars tighten and contract the skin, limiting movement.

Stretch marks

These scars occur when the skin stretches rapidly, such as during pregnancy or puberty. They are usually pink or red initially but eventually fade to a silvery shade.

How to use scar cream

Using scar cream effectively requires consistency and patience. Here's a general guide:

Prep

Clean the scar area with mild soap and warm water. Pat it dry completely.

Apply

Follow the specific instructions on your chosen cream. Most recommend a thin layer massaged gently onto the scar and surrounding skin. Avoid open wounds or irritated areas.

Absorption

Leave the cream to fully absorb, which might take minutes, depending on the formula. Some require drying before covering them with clothing.

Frequency

Apply as directed, typically once or twice daily. Long-term use, often months, is usually required for best results.

Maintenance

Protect the scar from sun exposure with sunscreen, SPF 30 or higher, to prevent darkening. Moisturizing the surrounding skin can also aid healing.

How does scar cream work?

Hydration

Many scar creams contain ingredients like hyaluronic acid or glycerin that attract and retain moisture in the scar tissue. This helps to keep the scar soft and supple, making it less noticeable.

Collagen management

Scars form due to an overproduction of collagen fibers during the healing process. Some scar creams contain ingredients like silicone or Centella asiatica extract to regulate collagen production, leading to a flatter and smoother scar.

Protection

Scar creams often create a physical barrier on the skin, shielding the scar from further irritation or sun damage. This can help prevent the scar from becoming darker or more raised.

Anti-inflammatory properties

Some scar creams contain ingredients like aloe vera or vitamin E that have anti-inflammatory properties. This can help to reduce redness and itching associated with new scars.

Potential allergic reactions and drug interactions

As with any topical product, scar creams can trigger allergic reactions in some individuals. Professionals recommend testing a new product on a small patch of skin and waiting 24 to 48 hours to determine if there are any reactions. The most common irritants in scar creams are fragrances, preservatives, botanical extracts, sunscreen ingredients, and silicone.

When to see a doctor about scarring

Early intervention is crucial to successfully reducing the appearance of scars, so don't hesitate to visit a doctor to determine the proper treatment path. However, it's essential to seek medical attention immediately if you notice signs of infection, excessive bleeding, rapid growth, discoloration, new pain, or a suspected allergic reaction. If you are feeling significant pain or discomfort, a limited range of motion, or concerns about the appearance of your scar, consider seeing a doctor. Consider seeing a doctor for keloid and contracture scars, as they typically require a specialized approach.

Frequently asked questions (FAQs)

Should I use a gel, cream, or sheet?

The general rule of thumb is that gels and creams are great for new, flat scars, while sheets are more effective for raised scars, but people with active lifestyles may struggle to maintain them.

How well do scar creams work?

The efficacy of scar creams depends on how they’re used and the type of scar. Scar creams are an essential part of scar management, but they are just one element of treatment and should be used alongside proper wound care, sun protection, and potentially professional treatments. Setting realistic expectations and seeking expert advice to lay out the correct treatment plan for you is important.

How long does it take for scar cream to work?

Results vary depending on the type of scar and the scar cream selected, but many people see minimal improvement in hydration, texture, or discomfort within a few weeks and visible scar reduction within three to six months of consistent use.

When is the best time to use scar cream?

You will want to begin your scar management regimen once the wound is completely healed. Treating new scars is much easier than treating older scars. Many people find applying scar cream alongside their evening skincare routine the most effective way to allow the cream to absorb into your skin fully.