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Silicone Injections Before Dermabrasion and Acne Scar Revision?

asked 2 years ago by askin77 in california
Latest answer by Stephen Mandy, MD
Question viewed 2,819 times
Tags: face, acne scars, deep, depression, filling, ice pick scar, scar, skin

I have some deep acne scars and superficial irregularities.  I have recently decided to treat deeper scars with silicone microdroplets.  What concerns me is the compatibility of this treatment with scar revision surgery (for icepick scars) and dermabrasion. Would I be able to have the later after silicone injections? It doesn't make sense to me to have dermabrasion for the skin before the depressions are filled. Thank you for your help.

4 answers to Silicone Injections Before Dermabrasion and Acne Scar Revision?

+1

Silicone for acne scars and dermabrasion

I have been using microdroplet silicone injection combined with dermabrasion for more than 30 years. In experienced hands it gives the very best outcome for severe acne scarring. I usually do the silicone injections in several sessions one month apart first. For many patients the results are so good that dermabrasion is not needed. If we then do dermabrasion, we may use silicone afterwards for fine tuning.
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Silicone injections to the face for acne scarring and scar revision surgery

This would only be a hypothetical situation because the technique has not been widely studied or reported on due to the off-label indication. Although silicone injections have been performed for some time the lack of good data has hampered its widespread use. We commonly remove ruptured silicone breast implants and it is likely that microscopic amounts of silicone are in the scar without any adverse consequences. However, it is difficult to apply these observations to the face.... more
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Acne scar treatment

Acne scars are difficult to treat. Some times subcision can help. Ablative lasers may help with lowering the skin around the pits. Some lasers can be used to improve the collagen underneath. Fillers can be used or even fat to treat the soft tissue atrophy. I am not a fan of silicone because it ha been known to cause a lot of problems.
+1

Avoid silicone injections

The problem with silicone injection is the late rejection and inflamation. Silicone injections work and are permanant,but you pay for it down the road. I have seen horrible late results from silicone injections to the face,lips,breast and buttock. Please DO NOT let any body inject silicone to any part of the body. Silicone injections are impossible to remove and leave disfiguring scars.

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