I have a deep acne scars atrophy (roiling, box scars) had 5 time subcision and I wonder if I need more subcision? (Photo)

Replacing lost facial fat with fillers can offer several benefits, particularly in restoring a youthful appearance and enhancing facial contours. Here are some key advantages:
Smoother Skin: The loss of facial fat often accentuates wrinkles, acne scars and fine lines. Fillers can smooth out these lines by plumping up the skin from beneath, leading to a more rejuvenated look with acne scars.
Enhanced Facial Contours: Fillers can be strategically placed to enhance and define facial features like the cheekbones, jawline, and chin. This can create a more balanced and aesthetically pleasing facial structure diminishing the effect of acne scars.
Non-Surgical Option: Unlike surgical procedures like fat grafting or facelifts, fillers are minimally invasive, requiring little to no downtime. This makes them an attractive option for those looking for quick results without the risks associated with surgery.
Natural-Looking Results: When administered by a skilled practitioner, fillers can produce subtle, natural-looking results that enhance rather than alter a person’s appearance.
Customizable Treatments: Fillers come in various types and can be customized to meet individual needs, whether it's restoring volume, filling in deep lines, or refining facial contours.
Overall, replacing lost facial fat with fillers can significantly improve facial aesthetics, providing refreshed appearance to a face with acne scars.
Jeff Rapaport MD
Realself Hall of Fame
Castle Connolly Top Doctor

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.