Can Fractora help me with my deep acne scars? Or what treatment would? Can 2 or 3 treatments of Bellafill help? (Photos)

I think bellafil or eptfe implants under subcisions and real dermabrasions would be very helpful. Fractora RF would be great also as would direct excisions.

Hello, thank you for your question and pictures provided. When treating acne scars combination treatments often work best.  Bellafill will add volume to the depressed/ atrophy aspect of the scars. Takes up to 3 months to see results and will require multiple syringes to achieve the desired volume. Bellafill has a cumulative effect so patience is key. Submission may also be helpful in your case if your provider feels resistance or difficulty injecting the product in to the scarred tissue. For the more superficial scars and textural changes in the skin, Fractora is an ideal treatment that will stimulate collagen and resurface the tissue. Fractora is also safe for most skin types. Again, multiple treatments is best. Acne scar treatment and correction is a process. Best to focus on improvement not a cure. Hopefully your treatment provider can work out a package deal for you. They are both fantastic treatments. All the best!Dr. Solomon

With deep acne scars, most patients need a combination of treatments. Bellafill is the only FDA approved filler for acne scar treatment but most patients require multiple syringes and multiple sessions. In combination with laser/radiofrequency for facial resurfacing, most patients see great improvement. Hope this helps!

A combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, TCA cross, punch excision, Cosmelan and fillers. Co2 is the best laser for scars, but Erbium is a great alternative. It will take a series of treatments and will need life-long treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

I do think that Bellafill is a good solution for you. I would first subcise the area with cannulas and then fill underneath the larger scars. I do think that Infini/Genius is anther good option as is PRP and TCA Cross. It will take multiple treatments to have improvements. Most acne scar patients need 2-3 injections with the Bellafill.

Fractora is the perfect treatment for acne scarring. Fractora is a fractional rejuvenation and resurfacing treatment. The micropins resurface the area by causing protected injury to the skin making it heal from the inside out. The radio frequency energy heats up deep layers of the skin to break up scarring and stimulate collagen to revitalize and heal the skin. You'll want to do a minimum of 2 fractora treatments but will probably see the best results with 4 or 5 treatments.

Yes, Bellafill is an option, so are HA fillers and hyper dilute Radiesse or preferably (my own personal preference) Sculptra. You have a significant amount of atrophy. Really need to palpate to determine if you have subdermal fibrosis. Either way, this can be fixed. 3-4 sessions over 4-6 months. 70-90% improvement can be achieved. 

Acne scar revision comprises of many specialised procedures. For the best results, one should target the acne scar type with appropriate treatments METHODS. Using one or two devices is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Remember, scar revision is a medical procedure that is technical to perform. It is not dependent on the clinic, branch, machine, or laser but by the skill of your dermatologist of plastic surgeon. 



Take for example deep ice pick scars, and narrow box car scars. These are best treated with TCA CROSS and focused angled Co2 fractional laser in low density. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat graft, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations. 



In the vast majority of patients, different patterns of acne scars will be present. Monomorphic acne scarring (scars of the safe subtype) are extremely rare. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars.  In the majority of patients its finding the correct combinations that yields the best results. It is never about the device, it is about the specialist behind the equipment that will deliver the best outcomes. 

Global leaders in acne scar revision will always use manual methods to revise scars, and employ lasers and energy devices as instruments to assist. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.