Differences between fillers for acne scarring?

Question

What's the difference between different fillers that can be used for acne scarring? I've heard of restylane silk, restylane contour and bellafill beingused for acne scarring, and I'm sure there's others. What is the difference between these fillers? I need to know so I can choose a provider that offers the one that will work best for me. I have photos on my page

Emmanuel De La Cruz, MD · Answer

There are various types of fillers used to address acne scarring, and they differ in their composition, longevity, and suitability for specific types of scars. Here are some common types of fillers used for treating acne scars:

Hyaluronic Acid Fillers:

Examples: Restylane, Juvederm
Characteristics: Hyaluronic acid is a natural substance found in the skin that helps maintain hydration. These fillers are temporary, usually lasting around six months to a year.
Suitability: Best for rolling or depressed scars. They are not suitable for icepick scars.
Bellafill:

Composition: Bellafill is a dermal filler that contains both collagen and polymethyl methacrylate (PMMA) microspheres.
Characteristics: Bellafill provides both immediate volume and stimulates collagen production for longer-term improvement. It is considered a semi-permanent filler and can last for several years.
Suitability: Suitable for various types of acne scars, including rolling and boxcar scars.
Sculptra:

Composition: Sculptra contains poly-L-lactic acid, which stimulates collagen production.
Characteristics: It works gradually over a series of treatments, and its effects can last up to two years.
Suitability: Effective for treating atrophic or depressed scars by promoting collagen growth.
Radiesse:

Composition: Radiesse is composed of calcium hydroxylapatite microspheres.
Characteristics: Provides immediate volume and stimulates collagen production. It is a semi-permanent filler with effects lasting up to a year or more.
Suitability: Used for deeper scars and volumizing larger areas.
Restylane Lyft (formerly Perlane):

Composition: Similar to other hyaluronic acid fillers.
Characteristics: It is a thicker filler, making it suitable for deeper injections and providing longer-lasting results compared to some other hyaluronic acid fillers.
Suitability: Useful for deeper scars and areas that require more volume.
Silicone Oil:

Composition: Liquid silicone.
Characteristics: Considered permanent.
Suitability: Used in some cases for specific types of scars, but its use is controversial due to potential long-term complications.
It's crucial to consult with a qualified dermatologist or plastic surgeon to determine the most suitable filler for your specific type of acne scars. The choice of filler depends on the depth and type of scars, as well as individual factors such as skin type and treatment goals. Additionally, the longevity of results and potential side effects should be considered when making a decision.

Milan Shah, MD · Answer

There are several types of fillers used for acne scarring, each with its own characteristics and advantages. Here are some common types and their differences:1. Hyaluronic Acid Fillers (HA):• Examples: Juvederm, Restylane, Belotero• HA fillers are temporary and typically last around 6-12 months.• They are well-tolerated and reversible using hyaluronidase.• Suitable for filling shallow to moderate acne scars.2. Calcium Hydroxylapatite Fillers (CaHA):• Example: Radiesse• CaHA fillers are semi-permanent and can last up to 12-18 months.• They stimulate collagen production, providing longer-lasting results.• More suitable for deeper acne scars and volume restoration.3. Poly-L-lactic Acid Fillers (PLLA):• Example: Sculptra• PLLA fillers stimulate collagen production over time, offering gradual and natural-looking results.• They can last up to 2 years or more.• Often used for broad areas of volume loss or deep scarring.4. Polymethylmethacrylate (PMMA) Microspheres Fillers:• Example: Bellafill• PMMA fillers provide permanent results as they are not absorbed by the body.• They contain tiny spheres that remain in place and stimulate collagen production.• Typically used for deeper, atrophic acne scars.5. Autologous Fat Transfer:• Fat is harvested from the patient's own body, usually from areas like the abdomen or thighs, and injected into acne scars.• Results can be long-lasting, but some of the fat may be reabsorbed by the body over time.• Requires a minor surgical procedure for fat harvesting.When choosing a filler for acne scarring, factors such as the type and severity of scarring, the patient's skin type and concerns, as well as the duration of desired results, should all be taken into consideration. Consulting with a skilled injector is essential to determine the most suitable filler and treatment plan for individual needs.

Differences between fillers for acne scarring?

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Differences between fillers for acne scarring?

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