Doctor don`t used to every patient, just patient when follow up found thicker scar and patient with history he will prescribe... Other than that, his patient all recover well . Patients don`t complain on itchy and pain,they heal very well... Unless patient complain onitchy and pain he will prescribe to patient... For pricing wise, doctor don`t even know dermatix pricing. Inform doctor our price is more reasonable and affordable. Ask doctor to give us a chance to prove it 