Several treatments have been proposed, yet no consistent modality is available. Some authors, have suggested that time is the only treatment for SD and that it returns to normal over years, which is not true.21 It has always been suggested that effective treatment of SD be instituted during the active stage, well before the scarring process is complete.22 The first reliable method of treatment involved using tretinoin cream.23 Subsequent modalities were reported afterward, with variable results, which will be discussed in this section. A summary of major topical treatments is given in Table 2.