Can I get subcision after Restylane?

Question

I would like to get scar subcision done, but was wondering if I can get it about a month after a Restylane injection? Would the filler make subcision less effective? What would happen if I did so?I know that fillers after subcision is a good idea, but what if it is reversed? I got Restylane injected into my scars a week ago and I want to get subcision done in a month.Is it possibile to get subcision done after a filler? Or should I wait 6 months or so for the Restylane to subside before I go on with subcision?

Tanveer Janjua, MD · Answer

The goal is to break up all the scar tissue holding up the skin and pulling it downwards causing depressions. Once that is done by subcision then injecting a filler to smoothen the skin works well.
For acne scarring etc, Sculptra might be a better filler than Restylane.
Regards

Kenneth D. Steinsapir, MD · Answer

General surgeons are not using a hyaluronic sheet material called seprafilm to control abdominal adhesions following abdominal surgery. Oculoplastic surgeons have been exploring the use of this product to prevent adhesions from forming in the eyelids after surgery. The concept behind subcision is breaking the scar the hold down the base of the depressed acne scar.
There are additional changes as well due to a focal loss of fat underneath the acne scar that occurred with the original skin inflammation. If anything, Restylane injected with the subcision might actually be more effective by limiting the reattachment of the dermis to the subdermal connective tissue. You might encourage you dermatologist to use additional Restylane or better Perlane at the time of subcision.

Louis M. DeJoseph, MD · Answer

I will do some subcision before filler in two areas of the face. The laugh lines and the glabellar furrow. So just before injection to these areas, if the fold or wrinkle has a heavy dermal attachment component, I will take a needle and gently release it, then fill it. This may cause a slight bruise, but in the end it helps smooth the fold.

William Portuese, MD · Answer

Subcision is likely to remove a portion of the Restylane during the procedure and is probably best to get the subcision first, then the Restylane.

Bryan K. Chen, MD · Answer

If you had restylane injected into your depressed scars, I would not recommend saline subcision at this time, as it would disperse the restylane that you just paid for.  As Dr. Chong mentioned, however, the subcision technique is frequently used to create a "pocket" under the scar and this pocket is then filled with restylane.  Filler should not make the subcision procedure less effective.
Good luck.

Lavinia K. Chong, MD · Answer

I must have missed the reason why you are considering subscission in conjunction with Restylane.  I have used dermal fillers, like Restylane to improve the appearance of "crater like" acne scars, but I always use the subscission technique (ie move the needle to break up the scar to ensure even distribution of the product).  I believe that many other injectors also use this technique and I've heard of subscission using saline for this same indication.  The rationale is that by breaking up the scar adhesions, the collagen turnover is increased. 
On the other hand, the use of fractionated laser devices, post Restylane only makes sense for the practice offering the services in that order.  While the heat imparted to the skin is minute, it is generally agreed that it will increase the resorption of the filler.  Good luck.

Can I get subcision after Restylane?

Answers (6)

More Subcision Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Subcision Questions

Does Subcision Surgery Work to Get Rid of Cellulite?

Would subcision work on my dimple chin? (Photo)

How should I go about treating my acne scars? (Photos)

How to treat a 20 year old hypertrophic scar? Would subcision be a good option? (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS