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Mederma Advanced Scar Gel should be applied evenly and gently rubbed into the scar once daily for 8 weeks on newer scars and 3-6 months on older scars. Start the usage of Mederma Advanced as soon as new skin has formed, typically two or more weeks after the injury or surgery. Ensure that the scab has come off naturally and any stitches have been removed. On older scars you may start using Mederma immediately. Do not apply to broken skin.