Bellafill or subcision for acne scars?

In my practice I do a combination of lasers/RF, subcision, needling and fillers all on the same day (check out my youtube!).  I think you get the best results with combination therapy.  Best, Dr. Emer.

Thank you for your question.Bellafill is a great option for the treatment of certain acne scars.  However, optimal treatment is usually best achieved with multiple treatments and patience.  In addition to Bellafill, the following options are also helpful:Profractional laser treatmentMicropen treatmentTo be sure, see two or more board-certified
providers in your area for a complete evaluation to make sure you are a good
candidate and that it is safe for you to have Bellafill or other treatment for acne scarring.Hope this helps.

Improving indented acne scarring can take some
time and patience, but with all the available new technologies, the potential
for correction is more promising than ever. eMatrix is a great place to start
to treat acne scars, while Bellafill filler can be a great follow-up for more
severe, stubborn scars that are not resolved through resurfacing alone.

In regards to your question, Bellafill can
actually be injected in conjunction with the act of subcision. Subcision
involves using a needle to break up scar tissue underneath acne scars. This
movement releases the indented tissue, and gradually helps to improve scars
depth. In my office, part of the technique of injecting Bellafill involves
first performing subcision at each injection site, then placing the product
beneath the scar. This technique provides an instant improvement, and ensures
patients get the most out of their treatment.

Bellafill, unlike other filler, does require a
skin test a few weeks prior, so take that into account when planning for treatment.
Also keep in mind that multiple sessions may be necessary depending on the
severity of your scarring. Proper injection technique with Bellafill is
particularly important, as its components are partially permanent, so be sure
to consult with an experienced board certified Dermatologist. Best of luck!

Bellafill® has finally been approved by the FDA for treatment of acne scars.  Many of us have used some form of this permanent filler for years and in my case since the early 90's.  Previous to that, collagen such as Zyderm I or II was my filler choice, but subcision was also necessary, but the memory of the tethering scars pulled down again, but not as much as pre-treatment.  Many serial treatments were needed.  However, with continued diligence I was able to get an adherent aggressive skin cancer treatment, back to pre-excision levels without surgery, lasers (which really don't address or correct the underlying problems of lack of volume and skin quality). Your eMatrix and chemical peels also don't address the problem. Bellafill® is relatively expensive, but in my experience well worth the cost, since the results are mostly permanent.Dr. SeareClinique SculptureCarlsbad, Ca

Bellafill is an excellent choice for your acne scars. Very often, when injecting Bellafill, a
little subsicion is done to release any bound down scar or tethered scar that
is preventing the Bellafill from leveling the scar with the surrounding
skin. I have had patients who have tried
everything to get rid of their scars and they are over joyed when they see
their results from Bellafill.



I have added a link to more information about Bellafill and
a video on filler safety issues. Make
sure you find someone who has experience with injecting Bellafill under the
eyes and uses a micro cannula.



I hope that helps.

Best regards.