What are the early treatment options for chickenpox (varicella) scars?

Early treatment options for chickenpox scars should begin as soon as the lesions have crusted over. The most effective approach is to prevent scarring before it forms by avoiding scratching, keeping the skin clean, and using topical treatments. Calamine lotion can be applied to reduce itching and promote healing. For more active treatment, silicone gel sheets or silicone-based creams like Dermatix or Kelo-cote can be applied to healing lesions for 12-24 hours daily for at least 2-3 months. Vitamin E oil applied twice daily may help reduce scarring by promoting skin regeneration. Mild topical retinoids like adapalene 0.1% gel can be used once daily on healed lesions to promote cell turnover and collagen production, but should be avoided on open wounds. Sunscreen with SPF 30+ is crucial as sun exposure can darken scars; apply it daily even on cloudy days. Keeping the skin moisturized with hypoallergenic moisturizers helps maintain skin elasticity during healing. These treatments work by supporting the skin's natural healing process, reducing inflammation, and promoting proper collagen formation during the critical early healing phase when the skin is actively remodeling. For deeper or more persistent scars, consulting a dermatologist within 3-6 months of healing is recommended for professional treatments like microdermabrasion or laser therapy.