Can you combine microneedling/laser with filler to promote collagen growth in a scar?

Question

Following a nasty skin infection last year, I was left with a crease above my smile line which creates a fold when I smile. I have had filler in this line and whilst it does work to plump out the line, the results are only temporary. I am currently looking into a facial fat transfer to plump up my cheeks and pop out the crease but also considering the use of filler again, combined with microneedling. My question is, will the filler prevent new collagen from forming in the crease?

William J. Hall, MD · Answer

Micro-needling will help to promote collagen growth. Micro-needling is a non-ablative form of skin resurfacing. Micro-needling in combination with filler does not stop the collagen promotion from micro- needling it will help filler especially any type of hyaluronic acid filler will help to keep the skin plump and collagen active. Both procedure in combination work together.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Can you combine microneedling/laser with filler to promote collagen growth in a scar?

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Can you combine microneedling/laser with filler to promote collagen growth in a scar?

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Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.