Addressing the "donut effect" that can occur with Bellafill injections requires a careful approach. It's important to consult with a dermatologist or a plastic surgeon who has experience with dermal fillers and scar revision techniques. Here are some potential options that could be considered: Subcision: This procedure involves using a needle to break up the fibrous bands that tether the skin down, which can help to elevate the depressed area and improve the appearance of the scar. Subcision can be an effective treatment for acne scars and may help to alleviate the "donut effect" by releasing the scar tissue. Additional Bellafill: In some cases, adding more Bellafill strategically can help to even out the appearance. However, this should be done with caution to prevent further unevenness or overcorrection. Removal or Reduction of Bellafill: If there is an excess of filler creating the "donut" appearance, it might be necessary to remove some of the product. This can be challenging because Bellafill is not easily dissolved, unlike hyaluronic acid fillers. Surgical removal or laser treatments might be options, but they require an experienced practitioner. Laser or Radiofrequency Treatments: These treatments can help to remodel the collagen in the skin, potentially improving the overall texture and appearance of the scarred area. Consultation: It is crucial to have a thorough consultation with your dermatologist or plastic surgeon to assess your specific situation and develop a personalized treatment plan. They can evaluate the extent of the issue and recommend the best course of action based on your skin type, the amount of filler used, and the characteristics of the scar. Remember, any procedure has risks, so it's important to discuss these with your physician and ensure you have realistic expectations about the outcomes.