Begin use after 2 weeks (you may begin using the gel once the wound has closed no bleeding or oozing) and after any removable stitches have been removed. Do not put on open wounds. Ensure the scar area is clean and dry, as well as free from creams, lotions, ointments and powders. Apply a very small amount of gel to the scar and gently massage Allow to fully dry. Once dry, cosmetics and compression garments may be used over the scar. Use twice daily for 8-12 weeks for optimal results. Patients who use Silagen consistently twice a day for 2 months get the best results. If you are prone to forming excessive scars (hypertrophic or keloid) you may want to continue treatment for up to 6 months. Do not use the gel under Silagen silicone sheets, strips, or shapes. They will not stick to the skin if you do.