Effective Scar Treatment: Do Vitamin E and Aloe Vera Really Work? - Dermatology

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How to treat scars?


Hello: I have two lacerations on my face that have been sutured, but the affected areas have developed scars that are indented.
I have heard that applying vitamin E to the scarred areas or using aloe vera can help reduce scarring.
Is this information correct? Additionally, may I ask a physician what over-the-counter scar treatments I can purchase at a pharmacy?

Qian Yi, 20~29 year old female. Ask Date: 2001/04/07

Dr. Zheng Lizhen reply Dermatology


The scar you have is an atrophic scar, which can be treated with dermabrasion.
Currently, most procedures use laser dermabrasion, which causes less damage than traditional microdermabrasion and has a quicker recovery time, with wound healing taking about a week.
If the scar is deeper, surgical excision followed by closure may be considered to allow for a fresh healing process.
Vitamin E or aloe vera cannot eliminate atrophic scars.

Reply Date: 2001/04/07

More Info


When it comes to treating scars, particularly those that are depressed or atrophic in nature, it's essential to understand the efficacy of various treatments, including Vitamin E and Aloe Vera. While both of these substances are often touted for their skin benefits, their effectiveness in scar treatment, especially for deeper scars, is limited.

Vitamin E is frequently recommended for scar treatment due to its antioxidant properties and its role in skin healing. However, scientific evidence supporting its effectiveness in reducing the appearance of scars is mixed. Some studies suggest that topical application of Vitamin E may not significantly improve scar appearance and, in some cases, may even cause contact dermatitis or irritation in sensitive individuals. For atrophic scars, which are characterized by a loss of tissue and appear as depressions in the skin, Vitamin E alone is unlikely to provide the desired results.

Aloe Vera is another popular natural remedy known for its soothing and moisturizing properties. It has been used for centuries to promote skin healing and reduce inflammation. While Aloe Vera can help hydrate the skin and may improve the overall appearance of scars, it does not have the same level of evidence supporting its effectiveness as a treatment for atrophic scars specifically. Like Vitamin E, it may be beneficial for general skin health but is not a guaranteed solution for scar reduction.

For more effective treatment of atrophic scars, options such as laser therapy, microneedling, or chemical peels are often recommended. These procedures work by stimulating collagen production and promoting skin regeneration, which can help improve the texture and appearance of scars. In some cases, surgical options like scar revision may be considered, especially for deeper scars.

If you are looking for over-the-counter products, there are several scar treatment formulations available that contain ingredients like silicone gel, which has been shown to be effective in flattening and softening scars. Silicone sheets or gels are often recommended by dermatologists as a first-line treatment for various types of scars, including hypertrophic and keloid scars.

It's also important to consult with a healthcare professional or a dermatologist before starting any new treatment regimen. They can provide personalized recommendations based on the specific characteristics of your scars and your skin type. Additionally, they can guide you on the best practices for scar care, including sun protection, which is crucial for preventing scars from becoming more prominent.

In summary, while Vitamin E and Aloe Vera may offer some benefits for skin health, they are not the most effective treatments for atrophic scars. For significant improvement, consider consulting a dermatologist for more advanced treatment options that can provide better results.

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