For new facelift incisions, the best "scar cream" is usually less important than good wound healing, sun protection, and following your surgeon's timing. In the first days to weeks, most surgeons want the incisions kept clean and lightly moisturized with the product they prescribe, such as ointment or petrolatum, until the skin surface is fully sealed. I would not put scar creams, retinoids, vitamin E, acids, makeup, or adhesive silicone strips on any incision that is open, scabbed, draining, irritated, or not fully healed. Silicone gel or silicone sheets are the most evidence-based over-the-counter scar products once the incision has completely epithelialized and your surgeon has cleared you. For many facelift patients that may be around 2 to 3 weeks after surgery, but it can be earlier or later depending on your healing, suture removal, skin sensitivity, and whether there was any delayed healing. Silicone gel is often easier around curved facelift incisions and hairline/ear areas; sheets can work well on flatter areas if they do not pull on the skin or trap moisture. Use them only on closed, dry skin, stop if you develop redness or rash, and ask your surgeon before starting massage. Daily sunscreen and avoiding direct sun on pink scars are just as important, because UV exposure can darken a healing scar.