Scaraway vs. Cica Care vs. Mederma: Brand Comparison
Navigating the world of scar treatment products can be overwhelming, especially when faced with choosing between three leading brands: Scaraway, Cica Care, and Mederma. This comprehensive comparison examines these prominent silicone scar treatments to help you make an informed decision based on your specific needs, scar type, and budget. The scaraway vs cica care decision is particularly challenging as both utilize silicone technology but with distinct approaches, while Mederma offers an alternative formulation altogether. Through detailed analysis of formulations, clinical evidence, user experience, and value, this guide provides the essential information needed to select the optimal treatment for your scars.
Comparison Methodology
To ensure an objective and thorough evaluation of Scaraway, Cica Care, and Mederma, this comparison employs a multi-faceted approach examining several key factors. We've analyzed each brand's complete product range, investigating the quality and composition of their formulations, including silicone types and additional active ingredients. Clinical evidence has been scrutinized to understand effectiveness claims and medical endorsements, while real-world user experiences provide insights into practical application issues such as comfort, adhesion, and ease of use.
The analysis also covers value considerations including price-per-treatment calculations and product longevity. Accessibility factors such as prescription requirements and global availability have been assessed, alongside brand reputation and historical development. This research-based comparison incorporates data from clinical studies, manufacturer information, and authenticated customer reviews to present a balanced view of each brand's performance. No firsthand testing was conducted for this comparison; instead, we've synthesized existing evidence and consumer reports to create this comprehensive guide.
Brand Overviews
Scaraway
Scaraway has established itself as a prominent player in the over-the-counter scar treatment market with its silicone-based products. The brand focuses on providing accessible scar reduction solutions for various scar types, including surgical scars, injury scars, and burns. Scaraway's product philosophy centers on the proven efficacy of silicone for normalizing collagen production in scarred skin, with products designed for ease of use and affordability. Their target customers include individuals seeking at-home scar treatment without prescription requirements.
What distinguishes Scaraway is its consumer-friendly approach, offering thinner, more discreet silicone sheets and convenient gel formulations. The brand has achieved significant market penetration through pharmacy chains and online retailers, making it one of the most readily available silicone scar treatments. Scaraway's commitment to 100% silicone formulations without additional active ingredients represents their straightforward approach to scar management.
Cica Care
Cica Care represents the more clinical end of the scar treatment spectrum, with a strong medical pedigree and prescription availability in some regions. Developed following discoveries at an Australian children's hospital where silicone gel under pressure garments showed remarkable scar improvement, Cica Care has undergone rigorous clinical testing. The brand targets individuals with more severe scarring and those referred by medical professionals, positioning itself as a medical-grade solution for problematic scars.
The brand's core philosophy emphasizes robust clinical evidence and professional endorsement. Cica Care claims to be "medically proven to be up to 90% effective in the improvement of red, dark or raised scars" and has been used by medical professionals to treat over one million people worldwide. A notable innovation is their claim that the product can effectively treat scars up to 20 years old, extending its utility beyond fresh scars to long-established ones.
Mederma
Mederma takes a different approach from its silicone-based competitors, utilizing a proprietary formula containing allantoin as its active ingredient and Cepalin® (an onion extract) as a key component. Marketing itself as the "#1 Recommended Brand" by U.S. physicians and pharmacists, Mederma has positioned itself as a mainstream solution for various scar types, including acne scars, surgical scars, and stretch marks.
The brand's philosophy centers on its "unique triple action formula" that claims to penetrate beneath the skin surface to seal in moisture, renew cells, and aid in collagen formation. Unlike sheet-based competitors, Mederma's gel format focuses on convenience with once-daily application. Their target demographic spans a broad range, from individuals with minor scarring to those with more significant concerns, emphasizing ease of use and integration into daily skincare routines.
Product Range Comparison
Each of these three brands offers distinct product formulations and formats to address various scar types and user preferences. Understanding the full range of options is essential for selecting the most appropriate treatment.
Scaraway provides multiple product formats, including silicone sheets and gel. Their sheets come in different sizes and shapes for various body areas and are relatively thin with a light brown, fabric-like appearance that resembles adhesive bandages. The sheets are designed to be cut to size for customized application. Scaraway's silicone gel comes in a convenient tube format (20g) with an applicator for precise application to smaller or irregularly shaped scars.
Cica Care focuses primarily on thicker, transparent silicone gel sheets available in various dimensions, including 6cm x 12cm sheets that can be cut to size. These premium medical-grade sheets are designed for extended use and reusability. The sheets are noticeably thicker and more gel-like than Scaraway's, with a clear appearance that allows for scar visibility during treatment.
Mederma offers a simplified product line centered around their Advanced Scar Gel, available in 0.70oz (20g) and 1.76oz (50g) sizes. They also provide variants with SPF protection for scars requiring sun protection. Unlike the silicone-based competitors, Mederma's gel formula incorporates allantoin and botanical extracts in a water-based gel that absorbs into the skin rather than creating an occlusive barrier.
| Brand | Product Types | Sizes Available | Special Features |
|---|---|---|---|
| Scaraway | Silicone sheets, Silicone gel | Various sheet sizes, 20g gel | Thin, cuttable sheets; Gel with applicator |
| Cica Care | Silicone gel sheets | Various (including 6cm x 12cm) | Thick, transparent, reusable sheets |
| Mederma | Gel | 20g, 50g | Regular and SPF versions; Once-daily application |
Formulation and Materials Analysis
The effectiveness of scar treatment products is largely determined by their formulation and ingredient quality, revealing fundamental differences in how each brand approaches scar management.
Scaraway products are composed of 100% medical-grade silicone with no additional active ingredients or medications. This pure silicone formulation creates an occlusive environment that hydrates the scar tissue while allowing oxygen permeability. The sheets use a self-adhesive silicone that requires no additional tapes or bandages to stay in place. The gel format delivers the same silicone treatment in a spreadable form that dries to create a thin, invisible layer.
Cica Care features a premium silicone gel sheet formulation that's slightly thicker than competing products. The medical-grade silicone creates an occlusive barrier that research suggests works by hydrating the scar area, reducing blood supply, and limiting excessive collagen deposition. This occlusion mechanism helps normalize the collagen structure in the scar tissue. The self-adhesive quality of Cica Care eliminates the need for additional adhesives or bandages during treatment.
Mederma takes a significantly different formulaic approach, using allantoin as its active ingredient, which is clinically classified as a skin protectant with moisturizing properties. The formula also contains Cepalin®, a proprietary onion extract (technically labeled as an inactive ingredient despite marketing claims), along with water, PEG-200, alcohol, and xanthan gum. Rather than forming an occlusive barrier, Mederma's gel is designed to be absorbed into the skin to deliver its ingredients directly to the scar tissue.
| Brand | Main Components | Active Ingredients | Mechanism of Action | Hypoallergenic Properties |
|---|---|---|---|---|
| Scaraway | 100% silicone | Silicone | Occlusion, hydration | Generally hypoallergenic |
| Cica Care | Medical-grade silicone | Silicone | Occlusion, hydration, reduced collagen deposition | Suitable for sensitive skin |
| Mederma | Water-based gel | Allantoin | Moisturization, cell renewal (claimed) | May contain alcohol, potential irritant |
Clinical Evidence and Effectiveness
The scientific support behind each brand varies considerably, influencing the confidence consumers and medical professionals place in these products for scar management.
Scaraway relies on the established clinical evidence for silicone in scar management. While brand-specific studies for Scaraway are limited in the search results, silicone sheeting and gel have substantial clinical support for treating hypertrophic and keloid scars. User reviews report effectiveness in reducing raised scars and diminishing redness, with some users experiencing significant improvements in both old and new scars. The silicone-based mechanism has been shown to help regulate collagen production in scarred areas.
Cica Care presents the strongest clinical foundation among the three brands. It claims to be "medically proven to be up to 90% effective in the improvement of red, dark or raised scars" based on clinical trials conducted in the UK. The product's development stemmed from medical observations in burn treatment centers, leading to formal research validation. Studies indicate that Cica Care begins working after just a few days, though complete treatment requires 2-4 months of consistent use. Medical literature supports silicone sheets' effectiveness for hypertrophic scars, with multiple clinical trials documenting their efficacy.
Mederma's clinical evidence appears more limited and controversial. While marketed as a medically recommended product, some research questions whether its formulation offers benefits beyond basic moisturizers. The active ingredient allantoin functions primarily as a moisturizer and "skin protectant," while the marketed Cepalin® (onion extract) is actually classified as an inactive ingredient despite promotional claims about its anti-inflammatory properties. Some users report visible improvement in acne scars after approximately one month of use, but clinical studies specifically supporting Mederma's superiority are less abundant than for silicone-based products.
| Scar Type | Scaraway Effectiveness | Cica Care Effectiveness | Mederma Effectiveness |
|---|---|---|---|
| Hypertrophic/Raised Scars | Good | Excellent (up to 90%) | Moderate |
| Surgical Scars | Good | Very Good | Moderate |
| Burn Scars | Good | Very Good | Limited Evidence |
| Acne Scars | Limited Evidence | Limited Evidence | Moderate |
| Old Scars (>1 year) | Moderate | Good (claims effectiveness on scars up to 20 years old) | Limited Evidence |
| Treatment Duration | 8-12 weeks | 2-4 months | 8 weeks (new scars), 3-6 months (old scars) |
User Experience Comparison
The practical aspects of using these treatments significantly impact patient compliance and ultimately treatment success, with each brand offering distinct advantages and challenges.
Scaraway sheets are notably thin and less obtrusive than Cica Care, making them less visible during wear. However, multiple users report adhesion problems, particularly on facial areas, with sheets often beginning to lose adhesion after just one day despite manufacturer claims they should last about a week. The gel format receives praise for ease of application and discretion but some users have reported issues with the applicator mechanism. The sheets require removal and drying between applications, necessitating rotation between multiple sheets for continuous treatment.
Cica Care sheets are thicker and more durable, with manufacturer claims that a single sheet can last between 14-28 days with proper care. The sheets can be washed and immediately reapplied, offering convenience for continuous treatment. However, the increased thickness makes them more noticeable when worn in visible areas. Users must follow a gradual adaptation protocol, starting with 4 hours of wear, then 8 hours, eventually building to 12+ hours daily for optimal results. Like Scaraway, adhesion issues on facial areas are commonly reported, particularly during sleep.
Mederma offers perhaps the most convenient application process with its once-daily gel treatment that absorbs into the skin without leaving visible residue. This eliminates the adhesion problems inherent to sheet products and allows for normal daily activities without visible treatment. Users appreciate the lightweight texture that doesn't interfere with clothing or other skincare products. However, some report that it can cause skin dryness and flaking, and the requirement for consistent daily application over months requires disciplined compliance for results.
| Factor | Scaraway | Cica Care | Mederma |
|---|---|---|---|
| Application Process | Apply sheet or gel; sheets may need cutting | Apply sheet; requires gradual increase in wearing time | Apply gel once daily |
| Visibility During Use | Sheets noticeable but relatively thin | Sheets more noticeable due to thickness | Invisible after absorption |
| Adhesion Quality | Moderate; problems reported especially on face | Good initially but facial application challenging | N/A (absorbs into skin) |
| Comfort During Wear | Good for sheets; excellent for gel | Good but thicker sheets may be less comfortable | Excellent (no surface product after absorption) |
| Reusability | Sheets last approximately 1 week | Sheets last 2-4 weeks with proper care | N/A (single-use gel application) |
| Ease of Removal | Generally easy | Easy but may pull on delicate skin | N/A (absorbs completely) |
Price and Value Analysis
Cost considerations play a significant role in treatment decisions, especially given the extended duration required for effective scar management.
Scaraway offers a mid-range price point among the three brands. While specific pricing wasn't detailed in the search results, its positioning suggests moderate affordability. The value calculation is complicated by the reported need to replace sheets more frequently than claimed by the manufacturer, potentially increasing the actual cost over a full treatment course. The gel format may offer better longevity per unit. User ratings indicate 93% of surveyed customers believe Scaraway provides good value, suggesting satisfaction with the cost-benefit ratio despite replacement frequency.
Cica Care represents the premium price point in this comparison. One 5" x 6" sheet costs approximately $45 (as reported in search results), placing it significantly higher than competitors. However, this higher initial investment may be offset by greater durability, with sheets lasting 2-4 weeks with proper care compared to Scaraway's more frequent replacement needs. For complete scar treatment (2-4 months), fewer Cica Care sheets would be required, potentially balancing the higher unit cost. In some regions, prescription coverage may help offset costs.
Mederma presents competitive pricing with its gel format available in different sizes (20g and 50g). The once-daily application protocol may extend product longevity compared to multiple daily applications. A complete treatment course requires one application daily for 8 weeks (new scars) or 3-6 months (old scars), allowing for reasonably accurate cost projection. Some users report that a little product goes a long way, suggesting good value despite the extended treatment timeframe.
| Factor | Scaraway | Cica Care | Mederma |
|---|---|---|---|
| Initial Purchase Price | Moderate | High (~$45 per sheet) | Moderate |
| Product Longevity | Sheets: ~1 week Gel: Varies by use | 14-28 days per sheet | 20g lasts ~1-2 months with daily use |
| Cost Per Treatment Day | Moderate | Initially high but may average out due to durability | Low to moderate |
| Complete Treatment Cost (3 months) | Moderate to high due to replacement needs | High initial investment but fewer replacements needed | Moderate |
| Availability of Discounts/Insurance Coverage | Limited | Possible prescription coverage | Generally not covered |
Availability and Accessibility
The ease of obtaining these products varies significantly, affecting both initial adoption and treatment consistency.
Scaraway enjoys broad accessibility as an over-the-counter product available through numerous channels. It can be purchased at major pharmacy chains, big-box retailers, and various online marketplaces including Amazon and eBay. No prescription is required, making it immediately accessible to consumers. International availability appears extensive, though specific global distribution information was limited in the search results.
Cica Care has more restricted availability, requiring a prescription in some regions which necessitates a medical consultation before access. It is available through pharmacies, medical supply stores, and online marketplaces like Amazon. The prescription requirement, where applicable, creates an additional barrier to access but may also ensure appropriate medical oversight for severe scarring cases. The search results mention the brand being used by medical professionals worldwide, suggesting broad international distribution despite prescription limitations.
Mederma enjoys widespread availability similar to Scaraway, with over-the-counter access through pharmacies, retailers, and online platforms. No prescription is required, and its mainstream positioning suggests extensive international distribution. The brand's marketing as the "#1 Recommended Brand" by U.S. physicians indicates strong presence in medical channels despite not requiring prescription access. Its long-standing market presence has established broad distribution networks.
Customer Reviews and Satisfaction
User experiences reveal important insights into real-world effectiveness and satisfaction with each product.
Scaraway receives generally positive reviews, with 94% of surveyed eBay customers indicating they would recommend the product. Similarly high percentages agreed on good quality (94%) and good value (93%). Common positive feedback includes effectiveness in reducing raised scars, diminishing redness, and improving overall scar appearance over time. The most frequently reported complaints center on adhesion issues, particularly for facial application, and some users report problems with the gel applicator mechanism. Most positive reviews emphasized the importance of consistent, prolonged use for optimal results.
Cica Care user reviews were more limited in the search results but indicate strong satisfaction among those seeking treatment for severe or problematic scars. Professional endorsements appear stronger for Cica Care than other brands, with specific mention of medical usage. Common praise focuses on effectiveness for raised and red scars, with reports of significant improvement within the recommended 2-4 month treatment period. The main complaints mirror those for Scaraway, primarily centering on adhesion challenges, especially for facial applications and during sleep.
Mederma generates more mixed customer feedback. Some users report significant improvement in scar appearance after consistent use, particularly for acne scarring, while others experience minimal results despite following recommended application protocols. Positive reviews frequently mention the product's lightweight texture, ease of application, and convenient once-daily use. Common criticisms include the extended time required to see results, potential skin drying effects, and questions about effectiveness compared to silicone-based alternatives. Most successful users emphasize the importance of patience and consistent application.
Brand-Specific Strengths and Weaknesses
Scaraway
Strengths:
-
More affordable than Cica Care while providing similar silicone-based treatment
-
Thinner sheets that are less noticeable during wear
-
Available without prescription for immediate access
-
Versatile options with both sheet and gel formats
-
Strong user satisfaction ratings (94% would recommend)
Weaknesses:
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Adhesion issues frequently reported, especially on facial areas
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Sheets typically need replacement more frequently than claimed
-
Some users report problems with gel applicator mechanism
-
May require multiple sheets in rotation for continuous treatment
-
Less extensive clinical evidence than Cica Care
Ideal Use Cases:
-
Budget-conscious consumers seeking silicone treatment
-
Treatment of surgical scars on non-facial areas
-
Users preferring less visible treatment options
-
Those wanting both sheet and gel options for different scar locations
Cica Care
Strengths:
-
Strongest clinical evidence with up to 90% effectiveness reported
-
Most durable sheets lasting 14-28 days with proper care
-
Can be used on scars up to 20 years old
-
Sheets can be washed and immediately reused
-
Medical-grade quality with professional endorsement
Weaknesses:
-
Most expensive option among the three brands
-
May require prescription in some regions
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Thicker sheets more noticeable during wear
-
Adherence issues reported for facial applications
-
Requires gradual adaptation period for wearing time
Ideal Use Cases:
-
Severe hypertrophic or keloid scars requiring proven treatment
-
Medical professional-recommended scar management
-
Long-term, older scars that have been resistant to other treatments
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Users willing to invest more for potentially superior results
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Scars in areas where sheet visibility is not a major concern
Mederma
Strengths:
-
Convenient once-daily application protocol
-
Absorbs completely with no visible residue
-
Widely available without prescription
-
Works on various scar types including acne scars
-
No adhesion issues as with sheet products
Weaknesses:
-
Questionable efficacy of key ingredients according to some research
-
Typically takes longer to show results than silicone-based products
-
May cause skin dryness and flaking in some users
-
Less substantial clinical evidence for effectiveness
-
Requires very consistent daily application for months
Ideal Use Cases:
-
Users prioritizing convenience and discreet treatment
-
Mild to moderate scarring where subtle improvement is acceptable
-
Acne scarring and other less severe scar types
-
Those who cannot tolerate silicone sheets or experience adhesion issues
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Areas where sheet products are impractical (like scalp or highly mobile areas)
Head-to-Head Matchups
Scaraway vs. Cica Care
The direct comparison between these two silicone-based competitors reveals significant differences despite similar core technology. Cica Care offers superior durability with sheets lasting 14-28 days compared to Scaraway's approximately 7-day lifespan, though at a substantially higher price point. Cica Care provides stronger clinical evidence and medical endorsement but may require prescription access in some regions, while Scaraway offers immediate over-the-counter availability. Both experience adhesion challenges for facial applications, though Scaraway's thinner sheets provide less visible treatment. Cica Care can be washed and immediately reused, whereas Scaraway sheets need drying time between applications, potentially necessitating multiple sheets for continuous treatment.
For severe, problematic scars, Cica Care's stronger clinical foundation and medical pedigree may justify its premium pricing. For more moderate scarring or budget-conscious consumers, Scaraway offers a more accessible entry point to silicone treatment with similar basic technology.
Scaraway vs. Mederma
These brands represent fundamentally different approaches to scar management. Scaraway employs proven silicone technology creating an occlusive environment to normalize collagen production, while Mederma uses allantoin and botanical extracts in an absorbable gel claiming to work through ingredient penetration. Scaraway requires longer daily wearing time but may produce faster visible results on raised scars, whereas Mederma's once-daily application offers convenience but typically requires longer treatment periods for noticeable improvement.
Scaraway presents a more substantial physical barrier between the scar and environment but with associated adhesion challenges and visibility. Mederma integrates more seamlessly into daily routines without visible treatment but lacks the stronger clinical evidence of silicone-based approaches. For raised, hypertrophic scars, Scaraway's silicone technology offers better-established efficacy, while Mederma may be preferable for minor scarring where convenience is prioritized over maximum effectiveness.
Cica Care vs. Mederma
This comparison contrasts the most clinically-supported, premium silicone option against a convenient, ingredient-based alternative. Cica Care offers substantially stronger clinical evidence and proven effectiveness for serious scarring but requires longer daily wearing time and higher financial investment. Mederma provides unmatched convenience with once-daily application and complete absorption but contains ingredients whose effectiveness has been questioned in some research.
For medical professionals and those with severe scarring, Cica Care represents the gold standard despite its higher cost and application demands. For general consumers with less problematic scarring or those prioritizing treatment discretion and simplicity, Mederma offers an accessible alternative, albeit with potentially more modest results.
Conclusion and Recommendations
This comprehensive analysis reveals that each brand offers distinct advantages for specific scar types, user preferences, and treatment priorities. When selecting the optimal scar treatment, consideration of several factors can guide your decision.
For budget-conscious consumers, Scaraway provides the most accessible entry point to silicone-based scar treatment with a reasonable balance of effectiveness and affordability. Though requiring more frequent replacement than Cica Care, its lower initial investment makes it approachable for those uncertain about committing to more expensive options.
For maximum clinical effectiveness, especially for hypertrophic and keloid scars, Cica Care demonstrates the strongest evidence base with its clinically-proven 90% effectiveness rate. Despite the premium price point, its superior durability and established medical pedigree make it the preferred choice for problematic scarring requiring optimal outcomes.
For sensitive skin concerns, Mederma's gel formulation may be preferable for some users who experience irritation or adhesion issues with silicone sheets, though patch testing is recommended due to its alcohol content. Scaraway's thinner sheets present a good alternative for those who can tolerate silicone but need minimal weight and pressure on sensitive areas.
For specific scar types, our analysis suggests that Cica Care excels for raised and red scars, particularly hypertrophic and keloid formations. Mederma may be suitable for minor acne scarring and discoloration where dramatic improvement isn't required. Scaraway occupies a middle ground, offering reasonable effectiveness across various scar types without specializing in any particular category.
For best overall value, considering both financial investment and clinical outcomes, Scaraway provides the best entry-level value for mild to moderate scarring, while Cica Care offers superior long-term value for serious scarring despite higher initial costs. Mederma presents good value primarily for those prioritizing convenience over maximum effectiveness.
Ultimately, the ideal scar treatment depends on your specific circumstances, including scar type, location, age, and personal preferences regarding application method, visibility, and budget. For optimal results with any brand, consistency and patience remain essential, as effective scar management typically requires months of dedicated treatment.
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