A compounded gel cream for raised scars — silicone with betamethasone 0.05% and lidocaine 5% — for scars from surgery, injuries or acne that sit above the skin, prescribed online, reviewed by licensed providers, prepared by a U.S. 503A pharmacy and shipped discreetly to every state except Alabama, Arkansas, California, Florida, Kentucky and South Carolina.
$417 for 3 months
Choose your formula
Supply
One payment for a 3-month supply.
A few private questions, then a licensed provider reviews your answers.
The formula
A compounded prescription scar gel
Silicone is the long-recommended first step for raised scars, and this gel adds a steroid to flatten them and a numbing agent for itch and tenderness. Ours is compounded by a U.S. 503A pharmacy; compounded formulas are not themselves FDA-approved.
Silicone hydrates the scar and calms the overactive repair that builds it up, betamethasone, a steroid, reduces the extra collagen and redness, and lidocaine eases the itching and tenderness raised scars often cause.
Through ForbiddenRx, a licensed provider reviews your scar and history and decides whether this gel, and how it is used, is right for you.
When skin heals, it lays down collagen to close the wound. Sometimes it makes too much, and the scar rises above the skin, stays red, and can itch or feel tender. These are hypertrophic scars; keloids grow beyond the original wound. Both respond best when treated early and consistently.
Overactive healing builds the scar up. Silicone and the steroid calm it.
Raised scars are often itchy or sore. Lidocaine numbs the area.
Over-the-counter silicone sheets and gels are a good first step. This gel adds a prescription steroid and a numbing agent, with a provider deciding whether it fits your scar.
| Silicone sheet or gel (OTC) | Steroid cream alone (Rx) | Scar Gel (Rx) | |
|---|---|---|---|
| Silicone | Yes | No | Yes |
| Steroid | No | Yes | Yes, betamethasone 0.05% |
| Numbing | No | No | Yes, lidocaine 5% |
| Provider involved | No | Yes | Yes — reviews your scar & history |
Sunken (pitted) acne scars are different and need in-office treatments; this gel is for scars that sit above the skin.
Three actives for raised, red or itchy scars.
Silicone covers the scar and calms the repair process that keeps building it up.
Betamethasone 0.05%, a steroid, reduces extra collagen, height and redness.
Lidocaine 5% numbs the scar so it is more comfortable.
It's for adults with raised scars, once the skin has fully closed. A provider confirms it's appropriate for your scar and history.
Raised scars after surgery, once the wound has healed.
Thick or raised scars from cuts or burns.
Acne scars that sit above the skin (not pitted ones).
Scars that grow beyond the original wound, with a provider-guided plan.
Don't use it on open wounds, stitches, or skin that hasn't fully closed, or on infected skin. Sunken (pitted) acne scars won't respond and the steroid could thin them. Tell your provider if you're pregnant or breastfeeding, about a lidocaine or anesthetic allergy, or if the scar is on the face, where steroids are used for shorter periods.
You complete a private online visit, a licensed provider reviews it, and — if appropriate — your prescription ships to your door. No insurance required, no in-person appointment, no waiting room.
A few private questions about your skin, goals, and history, on your own time.
A provider licensed in your state reviews your information and, if appropriate, writes your prescription.
Shipped from a U.S. pharmacy in plain, unmarked packaging to every state except Alabama, Arkansas, California, Florida, Kentucky and South Carolina. Reorder anytime from your dashboard, and our support team is an email or call away.
Your price is shown before you pay. No insurance needed.
This is a compounded topical. How much you use, how often and for how long are set by the provider who reviews your visit. We deliberately do not publish a regimen here, because that is a clinical decision about you, not a product specification.
Do not use it on open wounds, stitches or infected skin. Tell your provider if you are pregnant or breastfeeding, about any allergy to lidocaine or other numbing medicines, and about all medications before starting.
Possible side effects include:
Stop and contact your provider if you develop a rash, swelling, skin thinning, or signs of infection.
A side-by-side look at the prescription skin options available through ForbiddenRx. Your provider helps you choose what's right.
| Treatment | What it is | Best for | Form | For | Rx required |
|---|---|---|---|---|---|
| Tretinoin | A prescription retinoid (vitamin A) | Acne + anti-aging | Cream / gel | Adults | Yes |
| Melasma Cream | Tretinoin / hydrocortisone / hydroquinone 4% or 8% | Melasma & dark patches | Cream | Adults | Yes |
| Luminous Gel | Kojic / tranexamic acid / tretinoin | Melasma, hydroquinone-free | Gel | Adults | Yes |
| Clarity Cream | Clindamycin / spironolactone / tretinoin | Acne | Cream | Adults | Yes |
| Rosacea Cream | Azelaic acid / ivermectin / metronidazole | Rosacea | Cream | Adults | Yes |
| Anti-Aging Night Cream | Estriol / tretinoin / vitamin C | Fine lines & firmness | Night cream | Adults | Yes |
| Under-Eye Cream | Caffeine / tretinoin / glycolic acid | Dark circles & puffiness | Eye cream | Adults | Yes |
| Scar Gel This page | Silicone / betamethasone / lidocaine | Raised scars | Gel cream | Adults | Yes |
| GHK-Cu Cream | A copper-peptide repair cream | Firmness & recovery | Cream | Adults | Yes |
It combines silicone, the long-recommended first step for raised scars, with betamethasone, a steroid that flattens and fades them, and lidocaine to ease itch and tenderness.
Scars that sit above the skin: hypertrophic scars from surgery, injuries, burns or acne, and keloids. Sunken or pitted acne scars need in-office treatments instead.
Only once the wound has fully closed and any stitches are out. Starting early on a healed scar tends to work best. Your provider decides when.
Raised scars soften and flatten gradually, usually over several weeks to a few months of consistent use. Results vary.
Steroids on the skin are used for a set period because long use can thin the skin. Your provider sets how long and reviews it.
Physicians, NPs & PAs licensed in your state
U.S.-based compounding partners
We confirm your state during intake
Complete a private online visit and a licensed provider decides whether scar gel is right for you, and how to use it.
Written by ForbiddenRx and checked against FDA prescribing information and published sources · Updated October 2026. It is general information, not a review of your own health; your provider decides what is right for you. It is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with a licensed provider about your individual skin and health.
This page is educational and is not medical advice.