Would I benefit from fillers for my cheek acne scars? Male/mid 30s (Photos)

Question

Hello, I’ve been battling with acne scars on my cheeks since my 20s, and over the last decade, I’ve gotten different treatments, including several CO2 lasers, microneedling, plus other different treatments, and even though I have seen significant improvement, I am not entirely satisfied. Therefore, I’ve been doing my research online and I’m interested to give Fillers a try, even if they’re not permanent. Also, whenever I stretch the skin on my cheeks with my fingers, my scars seem to look better Would I benefit from both fillers and even some type of lift on my cheeks? As you can see, I have different types of scars (Ice pick, Rolling, Boxcar). I would appreciate your opinion and advice. Thank you.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your experience — I can see how persistent acne scars over the years can be frustrating, even after multiple treatments. It’s great that you’ve explored different options and are now looking at targeted ways to refine your results.

From your description and the fact that stretching the skin makes your scars appear less noticeable, it suggests that volume loss and skin tethering play a role in how prominent your scars look. This is exactly where dermal fillers can help. Fillers can lift depressed areas, smooth out rolling and some boxcar scars, and restore subtle volume, giving the skin a more even surface. While fillers aren’t permanent, they can offer noticeable improvement with minimal downtime.

For your mix of scars:

Rolling scars and shallow boxcar scars respond best to filler.

Ice pick scars generally don’t improve as much with fillers and may benefit more from techniques like punch excision, laser, or subcision.

A cheek lift or volumizing approach can sometimes complement fillers, especially if there is natural volume loss with age or if lifting the cheek tissue helps soften the appearance of multiple scars at once.

Combining approaches — volume restoration with fillers and targeted scar treatments — often provides the most harmonious and lasting improvement. You’ve clearly done a lot of work on your skin already, and fillers can be a valuable next step to refine your results further.

Would I benefit from fillers for my cheek acne scars? Male/mid 30s (Photos)

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