Topical vitamin E usually doesn't improve scars and can cause dermatitis. Essential oils have limited human evidence and may irritate; avoid applying them to open wounds. Start with gentle cleansing, keep wounds moist with petroleum jelly, protect from sun, and consider silicone gel/sheets for scar prevention. See a dermatologist for thick or problematic scars.
Why scars bother us
A scar can trigger a memory - good or bad - and when it's visible many people want it reduced. Over the years a number of home remedies have circulated, but some common approaches are ineffective or can cause harm. This guide updates what we know now and gives safer, evidence-based options.What doesn't work (and what can hurt)
For years people recommended rubbing vitamin E into scars. Clinical studies and dermatology reviews show topical vitamin E usually does not improve scar appearance and can cause contact dermatitis in some users. Avoid using concentrated vitamin E expecting dramatic improvement.Essential oils such as lavender, helichrysum, or tea tree are often touted for preventing scars on new wounds. Laboratory and animal studies have suggested antimicrobial or anti-inflammatory effects for some oils, but high-quality human trials are limited. Critically, essential oils can irritate skin or trigger allergic reactions - and you should not apply undiluted oils to open wounds.
Safer first steps for new wounds
- Clean the wound gently with mild soap and water or sterile saline. Do not use undiluted essential oils or harsh antiseptics on open cuts.
- Keep the wound moist and protected. A thin layer of petroleum jelly (e.g., petrolatum) with a nonstick dressing helps healing and reduces scar risk.
- Change dressings as directed and watch for signs of infection (increasing redness, pus, fever).
- Protect healing skin from sun exposure; UV can darken scars. Use physical protection and broad-spectrum sunscreen once the wound has closed.
Evidence-based scar treatments
- Silicone gel sheets or topical silicone gel: Among noninvasive options, silicone has the strongest clinical support to prevent and improve hypertrophic scarring and keloids when used consistently.
- Pressure therapy, corticosteroid injections, laser treatments, microneedling, and surgical revision: These are used for thicker scars or keloids and are performed by specialists.