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Pulse dye lasers. It is very effective in reducing scars.
You can definitely diminish scarring with C02/ Erbium lasers but then Medicare won't probably pay for it.
Location of the incision is an important factor in determining the scar removal technique. Creams are a waste of money. Take into consideration the genetic factors. Instruct your pt to apply sunscreen. It is very essential.
What about Dermatix silica gel or sheets, Bio oil, with gentle circular massage! It works! Plus you have to stay out of the sun and stop sun bed salon tanning for at least 3 month post op and have a good nutritional diet and take multivitamins with minerals!
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To surgeons out there: What treatments would you recommend to patients post-surgery to minimize scarring?