Scar Protocol Phase IV: Protect & Strengthen Scar Cream

$79.00

100 in stock

By the time you reach Phase IV, the hardest work of post surgery scar care is behind you. Your scar has closed, flattened, and moved into late remodeling, the stage where new skin is strong enough to be protected and gently brightened. This plastic surgery scar cream, formulated by renowned surgeon Dr. Javad Sajan, wraps the scar in cocoa and shea butter, shields it with vitamin E and rosemary, and begins evening out tone so the scar blends into the skin around it. It is also the starting point for anyone with an existing scar under a year old.

Product variants

Free Shipping
No minimum order value
Delivery within 7-days
90-Day Money-Back Guarantee

Payment & Security

Your payment information is processed securely. We do not store credit card details nor have access to your credit card information.

Phase IV: Ointment

The Science Behind Phase IV

In late remodeling, roughly months 3 to 6 after surgery, collagen is no longer being rebuilt at speed. The scar has its basic shape, and the priority shifts from softening tissue to defending it, which is where an anti scar cream after surgery earns its place. New skin over a scar has less pigment protection and a thinner barrier than the skin around it, which is why scars darken in the sun and dry out faster than normal skin. Phase IV is the surgical scar cream for this stage: a rich, antioxidant-heavy formula that locks in moisture, guards against environmental stress, and prepares the scar for the retinol work of Phase V.

The base is cocoa butter, shea butter, and coconut oil, three barrier lipids that keep the scar supple and hydrated through the day. Tocopherol (vitamin E) provides antioxidant protection, while white willow bark, a natural source of salicylates, gently encourages surface turnover so tone begins to even out. Rosemary leaf extract and neem seed oil add further antioxidant and soothing support, and medical-grade silicone leaves a light, breathable film that holds everything in place.

As a daily scar healing cream, Phase IV keeps the scar protected and calm while the skin finishes maturing. Because the formula is matched to late remodeling rather than every stage at once, it behaves differently from a general-purpose moisturizer. That stage-specific design is what many patients look for when comparing the best creams for surgical scars.

Aqua (Deionized Water), Theobroma Cacao (Cocoa) Butter, Butyrospermum Parkii (Shea) Butter, Cocos Nucifera (Coconut) Oil, Glycerin, Tocopherol (Vitamin E), Polydimethylsiloxane (Silicone), Xanthan Gum, Salix Alba (White Willow) Bark Extract, Rosmarinus Officinalis (Rosemary) Leaf Extract, Azadirachta Indica (Neem) Seed Oil

Begin Phase IV after completing the Phase III cream, usually around month 3 after surgery, when the scar is fully closed and in late remodeling. If you are starting Scar Protocol with an existing scar under a year old, Phase IV is the starting point, and for many patients the best post surgery scar cream to begin with is the one matched to the scar’s age.

Directions: Apply a thin layer of this scar cream after surgery to clean, dry skin and massage gently into the scar and the skin immediately around it. Use twice daily for about three months, or as directed by your surgeon. No surgical scar removal cream can erase a scar, but steady use through late remodeling helps the scar blend in more naturally. Apply a broad-spectrum SPF over the cream every morning, since sun exposure is a common reason a maturing scar darkens. Continue the Phase I cleanser throughout.

The same routine applies to breast incisions, and the butter base makes Phase IV a practical option for anyone comparing the best scar cream for breast surgery, once the surgeon has cleared the scar for topical products.

Always follow your surgeon’s post-operative instructions, since even the best scar cream after surgery works alongside medical guidance, not in place of it. If you notice increased redness, swelling, discharge, or fever, contact your care team before continuing any product.

Shields new skin: Phase IV protects the scar from oxidative and environmental stress with vitamin E, rosemary, and neem.

Strengthens the barrier: Phase IV keeps the scar hydrated and flexible with cocoa butter, shea butter, and coconut oil, the kind of barrier support people look for in the best cream for post surgery scars.

Gently evens tone: The formula helps discoloration soften over time through white willow bark, which supports surface renewal.

Maintains flatness: Silicone and sustained hydration help keep the scar smooth as collagen settles, which is what people expect from the best scar treatment cream.

Prepares for Phase V: A protected, well-hydrated scar is better prepared for retinol when the final phase begins.

Why one cream was never enough

Dr. Javad Sajan, a renowned plastic surgeon, had spent his career in the operating room with thousands of surgeries. With those surgeries came thousands of incisions closed with precision. And thousands of patients sent home with the same instruction every surgeon gives: "Here's an ointment. Use it twice a day."

But something kept bothering him.

A scar on day seven looks nothing like a scar at week six. A scar at month four behaves nothing like a scar at month ten. In those early days, the skin is raw and inflamed, begging for moisture and protection. Weeks later, it's rebuilding collagen at full speed, sometimes too much of it. Months on, it's remodeling, fading, flattening, still changing beneath the surface. Each of those stages has different needs.

And yet patients were handed one tube and told to make it work for all of them.

So Dr. Sajan did what surgeons do. He solved the problem. He formulated a complete, phase-by-phase post-surgical scar treatment, one that changes as your scar changes. Each cream is timed to a specific window of healing, with ingredients chosen for exactly what the skin is doing at that moment. With years of research and testing, Scar Protocol became the first full scar reduction protocol of its kind.

Not a cream. A system. The way surgical scar care should have always been done.

What Makes the Scar Protocol Different?

Phase-timed formulas

Five distinct creams, each matched to a specific healing window. Your scar care evolves as your scar does.
Starts with a cleanser

The best scar treatment cream with cleanser included. Phase I is the only step in the system that pairs two products, the Natural Cleanser and the Phase I cream, to work together directly during the most fragile weeks.
Plastic Surgeon-designed

Created by a practicing plastic surgeon, not a marketing team. Refined on real patients with years of research and testing.
A full year of care

One kit carries you from incision through the final remodeling stage of your scar.
Guaranteed Return

If you're not satisfied within 90 days, return the kit for a full refund. No questions asked.

Buy the kit

Am I a Good Candidate?

You may be a candidate for the Scar Protocol scar treatment kit if you:

Are at least one week out from surgery or injury
Have a scar that is less than six months old
Have a scar located on the outside of the body
Can commit to twice-daily application for a full year
Are looking for the best scar treatment after surgery without prescriptions or in-office procedures

Happy customer

After surgery, I started using the scar protocol creams and religiously use them...They were awesome. And I could visibly see the differences in coloring on the different stages as things were healing. I love the way my scars came out, they're almost invisible.

Dr. Sajan's real patient

After top surgery, I wanted to try Scar Protocol to avoid the onslaught of scar healing advice and products. While I was initially skeptical, Scar Protocol has made my healing journey smooth and easy. I am so glad I decided to give this product a shot!

Dr. Sajan's real patient

Scar Protocol changed the speed of my scar healing after my surgery and even after a bike wreck. I always want to have this on hand as it provides the best results for any kind of scar.

Mag Pie

My provider has Scar Protocol which I've been using, which has made my scars very supple. A lot of times the scar tissue tightens and binds up, I haven't had that.

Jake Fletcher

All these little miracles together, basically make your scar disappear, like magic!

Julie Clayton

I have been using the Scar Protocol System since then as part of my post-op care...I'm very satisfied with the treatment...and I highly recommend Dr. Sajan and his products [silicone cream].

Trevor Duncan