Scar Treatment Gel — Choose by Scar Type, Not by Brand

Scar gels in this category fall into two main groups: silicone gel and onion-extract gel. Silicone gels such as Dermatix Ultra Gel and Dermatix Acne Scar form a thin film over the scar that regulates moisture and curbs excess collagen — best suited to raised scars and keloids. Onion-extract gels such as Hiruscar Ultra Scar Care Gel help even out skin tone and suit shallow scars and acne marks. Both are for external use only; the right pick depends on scar type, not brand. Texture differs too: silicone gel dries into a thin film, while onion-extract gel is creamier and absorbs faster — useful where you don't want a greasy residue.

A hypertrophic scar stays raised and red early on but remains within the boundary of the original wound, and often flattens somewhat on its own over time. A keloid grows thicker, spreads beyond the original wound edge, and does not shrink back naturally. Both can respond to some degree to silicone-gel treatments, which help soften and flatten the tissue. But if a keloid keeps growing, spreads further, or becomes painful or unusually itchy, see a doctor for a proper evaluation rather than relying on gel alone. Telling a hypertrophic scar apart from a true keloid sometimes needs a dermatologist's exam, especially when the scar has stayed raised for more than 6 months.

Deep pitted marks left by old inflamed acne behave like small surgical scars and suit a silicone-gel formula such as Dermatix Acne Scar, made for acne scars and dark marks. Flat dark spots with no pitting respond better to an onion-extract formula such as Hiruscar Ultra Scar Care Gel, which helps even out skin tone. If you have both pitting and discoloration, start with Dermatix Acne Scar and use it consistently as directed. This combination is common after repeated breakouts in the same area.

Most silicone-gel and onion-extract scar treatments are applied twice daily, morning and evening, on clean, dry skin — a thin layer over the scar area only, left to absorb. Only start once the wound has fully closed; never apply to open wounds or infected skin. Visible change in color and texture typically takes at least 8-12 weeks of consistent use. Inconsistent application is the most common reason results take longer than expected. A light circular massage over the scar for a minute or two while applying can help it absorb more evenly.

Children with scars from accidents, surgery, or scald burns can use scar gels formulated specifically for kids, such as Dermatix Ultra Kids and Hiruscar Kids Gel, gentler than adult formulas and designed for more delicate skin. Don't use an adult formula on a young child without checking with a pharmacist first, and patch-test a small area before full use. Stop immediately if redness or irritation appears, and keep every scar gel out of reach of young children.

Even scars that are years old can still be treated with scar gel, though results tend to be slower than on fresh scars, since older tissue and pigment are more fixed in place over time. An onion-extract formula like Hiruscar Ultra Scar Care Gel helps fade the color of an old mark with consistent use, while silicone gel does more for raised, firm texture. Regardless of age, daily consistency remains the biggest factor, and a pharmacist can help match the formula to your scar. Especially dark scars, whether deep brown or black, usually need longer than average before the color visibly fades.

Formula, best-suited scar type and size for all 5 scar gels in this category.

• Dermatix Ultra Gel — Silicone gel, best for raised scars and keloids. Size 5g / 15g.
• Dermatix Acne Scar — Silicone gel, best for acne scars and dark marks. Size 5g.
• Dermatix Ultra Kids — Gentle silicone gel, best for scars on children. Size 5g.
• Hiruscar Ultra Scar Care Gel — Onion extract, best for shallow scars and dark marks. Size 5g.
• Hiruscar Kids Gel — Onion extract, kids formula, best for scars on children. Size 10g.

Not sure which one fits your scar? Ask our pharmacist before you order.