Previously, I had Restylane in cheeks to replace lost volume and to fill depressed acne scars. Initial results/swelling were fantastic, but eventual result was some acne scars became more pronounced, though cheeks were fuller.
It seems the filler settled around scars - there was a more pounced ridge around several of the depressed scars. I waited 8 months for filler to dissolve, but eventually opted for Hyaluronidase, which returned me to a less full/youthful appearance but also a less noticeably-scarred face.
Could Restylane be injected deeper to avoid scar "donutting"? How else can I increase volume without risking scar donutting?
For the deeper acne scars, fillers will not do the job alone. Subcision by special needles is done to release the tethering scar tissue underneath the scar. The other option is to excise the scar and either close the resulting defect with suturing; or refill the defect with a graft of healthy skin, usually obtained from behind the ear.
