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Can anyone explain how Belotero should be injected so it does not create a donut hole around an acne scar?

I have heard of doctors injecting it so superficially that the needle is still visible, injecting just barely under the skin. If injected to deep the product will simply spread out around the scar, making the scar appear worse. (the way other fillers do). Is anyone using this technique? And having success with acne scars? I have had it injected and unfortunately this is what happened to me. Because this can be used superficially I had high hopes for this product. I would like to give it another try.

Doctor Answers 3

Yes, Belotero can be used for acne scars

August 27th, 2016
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My two favourite products for filling acne scars are with Belotero or with Juvederm VOLBELLA. I use many techniques with fillers for acne scars, including subcision, tunnelling as well as the inverted pyramid - will produce a video on these methods in the near future. But to answer your question- yes, using subcision a good injector can fill acne scars without lumps. See the YOUTUBE video for more info. Dr Davin Lim, Brisbane. Australia. 

Web reference: https://www.youtube.com/watch?v=5IAy1bqTG0k

Davin Lim, MBBS, FACD
August 27th, 2016

Yes, Belotero can be used for acne scars

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
My two favourite products for filling acne scars are with Belotero or with Juvederm VOLBELLA. I use many techniques with fillers for acne scars, including subcision, tunnelling as well as the inverted pyramid - will produce a video on these methods in the near future. But to answer your question- yes, using subcision a good injector can fill acne scars without lumps. See the YOUTUBE video for more info. Dr Davin Lim, Brisbane. Australia. 

Learn more: https://www.youtube.com/watch?v=5IAy1bqTG0k

Davin Lim, MBBS, FACD

Acne scars

August 21st, 2016
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Dear fory06:  From your description, it seems likely that you have bound-down acne scars. Treating these requires one or more of several specialized approaches. You could have #microneedling with #PRP with subcision of the acne scars that are bound-down.  Another option would be injecting them with #BellaFill, which is a more permanent filler, combined with subcision at the time of injection of the filler. #Beletero can improve scars that are depressed but not bound-down or tethered to the underlying connective tissue.You might consult with a board-certified dermatologist who employs these and other modalities to treat acne scars, for the best results.  All the best, Dr. Clark

Web reference: http://www.sherylclarkmd.com/eclipse-elite-micropen-for-microneedling.html

Sheryl D. Clark, MD
August 21st, 2016

Acne scars

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Dear fory06:  From your description, it seems likely that you have bound-down acne scars. Treating these requires one or more of several specialized approaches. You could have #microneedling with #PRP with subcision of the acne scars that are bound-down.  Another option would be injecting them with #BellaFill, which is a more permanent filler, combined with subcision at the time of injection of the filler. #Beletero can improve scars that are depressed but not bound-down or tethered to the underlying connective tissue.You might consult with a board-certified dermatologist who employs these and other modalities to treat acne scars, for the best results.  All the best, Dr. Clark

Learn more: http://www.sherylclarkmd.com/eclipse-elite-micropen-for-microneedling.html

Sheryl D. Clark, MD

Belotero for acne scars

August 21st, 2016
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Hello, and thanks for your question. Sorry you have not yet gotten the results you had hoped for.Belotero can be a great filler to use for acne scars for the reason you have alluded to -- it is a thin, forgiving filler that can be placed very superficially. This is great for superficial scars, but for deeper ice pick and box scars, this is generally not sufficient, as these scars are more bound-down and have fibrous adhesions. Another downside is that Belotero tends to not last as long as other fillers. I generally use a combination of fillers, subcision, lasers and/or TCA CROSS to get the best results for my acne scar patients. Every patient is different and therefore needs a customized plan. In my opinion, this is most certainly an area where having a "cookie cutter" approach will result in sub-optimal results for many patients. In order to determine the best treatment plan for you, I recommend an in-person consultation with a well-trained dermatologist. Make sure your doctor closely examines your scars before recommending a specific treatment plan. Best of luck, Dr. Frucht.   
Corey Frucht, MD, PhD
August 21st, 2016

Belotero for acne scars

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hello, and thanks for your question. Sorry you have not yet gotten the results you had hoped for.Belotero can be a great filler to use for acne scars for the reason you have alluded to -- it is a thin, forgiving filler that can be placed very superficially. This is great for superficial scars, but for deeper ice pick and box scars, this is generally not sufficient, as these scars are more bound-down and have fibrous adhesions. Another downside is that Belotero tends to not last as long as other fillers. I generally use a combination of fillers, subcision, lasers and/or TCA CROSS to get the best results for my acne scar patients. Every patient is different and therefore needs a customized plan. In my opinion, this is most certainly an area where having a "cookie cutter" approach will result in sub-optimal results for many patients. In order to determine the best treatment plan for you, I recommend an in-person consultation with a well-trained dermatologist. Make sure your doctor closely examines your scars before recommending a specific treatment plan. Best of luck, Dr. Frucht.   
Corey Frucht, MD, PhD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.