Best scientific evidence supports silicone sheets or silicone gel. There has been multiple studies that have shown these substances to be effective. I personally have my patients use Silagen although biocorneum is similar and Silicone sheeting if it can be tolerated may be best.
These only help hypertrophic or thick scars. Redness of scars take tincture of time to resolve six to 24 months. (Larry Weinstein, MD, Morristown Plastic Surgeon)
There is some evidence that gels or strips containing silicone can improve postoperative scars, so this may be an option. Your surgeon may have specific recommendations; if you are having difficulty scheduling an appointment with someone, perhaps you could still phone the office for advice. (William Andrade, MD, Toronto Plastic Surgeon)
There is no ‘BEST’ Only each surgeon’s preferences. Since you paid your chosen surgeon for complete TT care I think you should ask him directly!. I prefer silicone sheets. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Optimal cosmoses of surgical scars
Generally, your best non-operative conservative measures will include the use of a silicone gel or sheet combined with massage. (Stephanie Ma, MD, Waterloo Plastic Surgeon)
Biocorneum cream for tummy tuck scars
We have tried numerous different silicone based ointments to help scars fade faster. Our preferred option at this time is Biocorneum, seems to be more effective than others we have tried. (Jeffrey Hartog, MD, Orlando Plastic Surgeon)