XScar combines silicone gel with antioxidants, hydrating oils and vitamin E to create an optimal wound healing environment in all skin types. Clinically proven to reduce the appearance and improve scars from the following: - Surgery - Burns - Cuts/Injury - C-Sections - Cosmetic Procedures Frustrated with current scar treatments, two doctors began testing different formulations using evidence-based research to determine the optimal way to improve the appearance of surgical, acne and traumatic scars. The result of years of research is XScar. Directions: After cleared and instructed by your doctor, (usually 1-2 weeks after suture removal), begin by applying a generous coat of ScarlessMD lotion to the affected area. Gently massage into the area and repeat this process for a total of up to 3x a day. After 1 month, increase the strength of the massage and apply a circular motion with your finger or applicator. Ideally, you would apply and massage the gel in 3x a day for 3 minutes each time. This may help reduce the thickness and the red color of your scar over the course of the scar maturation (typically 6-12 months after injury). We recommend you continue using XScar consistently for one year to maximize your results.