Radiesse: Q&A
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I Have Box Car and Ice Pick Acne Scarring on my Cheeks. My Dermatologist Recommended Radiesse.
Will this work?
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15 Doctor Answers |
Asked by
jillysue
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I Have Box Car and Ice Pick Acne Scarring on my Cheeks. My Dermatologist Recommended Radiesse.
Since Radiesse is typically injected into the mid to deeper dermis I don't know that it's the best choice for this although, in all fairness, I'm not overly encouraged with the use of any non-permanent injectables for the long-term treatmennt of ice pick and acne scars. A resurfacing treatment may be better but it is, either way, a challenge to remedy.
Dr. E
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Radiesse for Acne Scars
Generally, restylane, juvederm, or belotero may be better for depressed acne scars. These can be injected more superficially, which is what is needed.
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Radiesse for Acne Scars?
Hi Jilly. Because Radiesse is typically injected into the deep dermis, it is not a good option for boxcar or ice pick acne scarring. The only reason we can think of why your physician would recommend this is that they do not offer any laser resurfacing that can help. We would either suggest a laser resurfacing procedure (traditional CO2, fractional CO2 or traditional Erbium) or subcision with a thinner injection product like Restylane or Juvederm that can be injected more...
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NO Radiesse for acne scars...
I agree with the other physicians... I do not recommend Radiesse for your type of acne scars. Go see another provider for a recommendation. Good luck.
Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute
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Different Acne Scars require different treatment options
Hi,
First, I wouldn't recommend Radiesse for treatment of the acne scars that you mentioned. Ice Pick acne scars are best treated by excision followed by surgical closure. Box Car scars are treated with combination of scar subcision with filler. The filler of choice depends on the level of your acne scar. The most commonly used fillers in my practice for this indication are Juvederm and Belotero.
Best Wishes,
Stewart Wang, MD FACS
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Combination Treatment For Acne Scars
Combination treatment is almost always needed for scars like the ones you describe. In my clinic, I start with subcising the scars under the surface of the skin to release the scar tissue pulling the scar down. Then, I often do a combination chemical peel to even out the icepick scars and smooth the surface followed by a hyaluronic acid filler just as Juvederm or Restylane to the area if needed. Laser resurfacing can also be very helpful in reducing the appearance of scars...
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Filler for acne scars
Acne scarring has to be divided into the type of scarring to determine the best treatment for your particular scarring. Deep ice pick scars will not respond to fillers. Soft saucerized scars will respond the best, but often after the scar is subscised with a special needle and freed up from the deeper collagen to allow for filler or collagen stimulators to be place in that new pocket. Using fractionated laser treatments in a series is often the best initial first...
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Hyaluronic acid fillers are great for ice pick acne scars
There are numerous methods for improving the appearance of acne scars, and treatment usually requires more than one modality. For box cars and ice pick scars, I usually start with a series of FRAXEL resurfacing laser procedures. These results are long-lasting and improve the overall texture and tone of the skin. This is followed by subcision and then injection of the remaining pits with hyaluronic acid fillers. Subcision uses a special needle or cannula to loosen the underlying scars that...
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Fillers Not Ideal for Box Car and Ice Pick Acne Scarring
I completely disagree with the recommendation of injectable fillers for these type of acne scars. They do not do well with injectable fillers, but rather with techniques that destroy the fibrous, pitted/punched out tissue of these types of scars. Such techniques would include electrosurgery, punch excision and occasionally laser and chemical peeling. Injectable fillers work well for more broad-based, atrophic, depressed acne scars. Click on the link below to view photos of...
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Acne Scars and Fillers
Rystylane seems to work better for acne scars. Why don't you consider having Dermabrasion as a permanent solution. You may get tired of all those needle sticks, plus you will save money over time. Consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeons (ASPS) for an evaluation to discuss your concerns and expectations. Good luck to you!
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Treatment of Acne Scars
I prefer to use Juvederm or perhaps Restylane for treating acne scars. These products are a bit softer and cause less inflammation that Radiesse. Of course, your doctor might prefer Radiesse because it could be more longer lasting, but I would recommend Radiesse for deeper lines or atrophy. Talk to your doctor. Good luck.
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Dermal fillers for Acne scars
Radiesse is usually better for deep dermal injections. But I believe Juvederm is better for acne scars as it is softer and more forgiving at the surface. Plus there is less chance of over correction leaving a "lumpy" appearance.
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Hello
In our practice and I’m sure every practice has their own way of treating acne scars. We have laser treatments and or a mini facelift to stretch out the skin. We have Profractional laser treatment and micro laser peels. Those procedures will improve your acne scars dramatically.
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Filling in box car and ice pick scarring
I usually use Restylane for box car and ice pick scarring, depending upon the size/depth of the scarring quite frankly. Restylane is a bit softer filler than Radiesse, so if the scars are less deep, this is what I prefer.
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Acne scars and Radiesse
In my experience, Radiesse can help with boxcar scars but not with ice pick scars.
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