Hypertrophic scar after c-section cannot disappear with silicone-based anti-scar gels. Silicone-based gels can only be used as a way to prevent keloid formation and hypertrophic scars. However, they cannot destroy the already existing excess collagen, just as they cannot influence its formation. Hypertrophic scars after caesarean section require more radical methods, such as cortisone treatment, freezing with liquid nitrogen, and so on.