Which scar gel is best for Mohs surgery followed by bilobed flap closure on nose?

Question

I had Mohs surgery on my nose 3 weeks ago. After stitches were removed I followed with aquaphor for 2 weeks. Now I can start with a scar creme and my doctor (surgeon) recommended Silagen Scar Gel and another doctor (dermatologist) recommended Celacyn scar gel. Can anyone give me advice on which is better choice for scars?

Raffy Karamanoukian, MD, FACS · Answer

Surgical scars can become red, 
hypertrophic, inflamed, and thickened. In our office, we use a 
combination approach that includes pulsed dye laser, Plato's Scar gel 
used twice daily, fractional laser, and Kenalog IIT to reduce the scar. 
Topical therapies are great first-line therapy. 
Dr. Karamanoukian
Realself100 Surgeon

John Louis Ratz, MD · Answer

In general, thick scars respond best to simple massage and/or application of soft silicone gel sheeting such as EpiDerm. This is available from Amazon for about $7. Any such treatment will take several months. A quicker option would be intralesional injections with a steroid such as Kenalog. My concern is, that without a photo, the thickness may not be scar, but properties of the flap itself. Good luck at getting improvement.    jlr

Felipe Muñoz, MD · Answer

Another opcion is Kelo-cote gel; this gel has showed very good results when is used for at least 6 months to a year after the procedure.

Which scar gel is best for Mohs surgery followed by bilobed flap closure on nose?

Answers (3)