Scar correction with filler

Steven H. Williams, MD answers: Larger indent after Juvederm Ultra and Cortisone

I had Juvederm Ultra injected into an indentation on my cheek. The indent was always there, but I had an acne cyst injected with cortisone and it just seemed to make the indent even larger. Anyways, when it was injected, my doctor said the product seemed to just go around the indent, making it look even larger. She was baffled. Why would this happen and will ANYTHING will it in?


Steven H. Williams, MD
1 month ago
By Steven H. Williams, MD - Bay Area Plastic Surgeon

Thanks for the question -

The challenge with treating scar depressions with fillers is it isn't just the depression you have to deal with.  Depressions that are caused by scars are often tethered by scar tissue.  This means that filler alone injected into the area can't fill the space because the scar tissue is holding the top layers of the skin to the deeper tissue.  The filler can't get in to the appropriate areas to correct the defect.

These areas have to be treated with scar revision by releasing the deeper layers before trying to fill them.

I hope this helps. 

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