Thyroid surgery scars are usually not problematic because the horizontal incision along the crease line also corresponds to a low tension skin load. A thyroid incision also has a good chance of forming a scarless result. If applied immediately after the wound bed dries for six weeks, Either adhesive or non-adhesive silicone sheeting should prevent any discoloration of scar (Hypo or Hyper-pigmentation) . Just using the Hyper-Heal cream will also give a good scar finish by supplying the area with ceramides, cholesterol and other barrier repair lipids as well as phosphatydalcholine for positive signal transduction in the healing cascades. A kit which includes both the Hyper-Heal cream and silicone sheet should cover all bases and provide the best results.