Doctor at first saying not promise use the product.. She will use if necessary.. Tell doctor sharing of the product. Doctor usually 2 concern.. First concern on collagen control.. She say dermatix doing well in control and limit the collagen.. Hence it can help soften and flatten the scar... Second concern is pigmentation.. Where dermatix not helps.. She share usually pigmentation grow together with keloid... Keloid raise raise and cause itchy... Become more serious if sweating... She encounter before cesarean not apply grow. Keloid.. Then next time she start use dermatix only can control... So she will prescribe to patient everytime after operation... Know important of prevention... SPF30 is good for patient with acne marks... Exposed area need well cover with sunscreen from against hyperpigmentation. Doctor having burn pigmented from cooking... Share doctor the testimonial.. Doctor interested to try on the product.. Be the testimonial ask me to take photo and see how effective our product 