Do You Recommend Fillers to Smooth out an Old Burn Scar?

Question

I have been advised to use fillers to smooth out an old burn scar and a kind of 'dip' in the skin around the eye area.  Do you see this as being helpful?  And how deep should the injection be?

Philip S. Schoenfeld, MD, FACS · Answer

Dermal fillers are used to perform one task well, and that is to fill in depressions of the skin. You can have more filler added in some areas to help restore volume to an area, but, the bottom line is that Dermal fillers fill. If you have a depressed scar a dermal filler will help with the shadows the scar creates on your skin, but, dermal fillers will be less effective in changing the texture and color of the burned skin. The beauty of hyaluronic acid dermal fillers is that they can be reversed immediately if the result is not what you had hoped for. Good luck.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

It could help reduce uneven areas, but to change overall appearance, I doubt the effect would be worth the expense. Go see certifed burn care and injector specialists. Happy New Year

Steven Wallach, MD · Answer

I have not heard of using fillers for burn scars. But fillers can be used for any depressed region. This may camouflage the area of depression.

Steven Hacker, MD · Answer

Without seeing the type and location of the scar, it is still highly unlikely that fillers would be an appropriate treatment for the scars. The fillers original indication is not for scars but for facial wrinkles. As such, they are meant to restore the appearance of lost volume from wrinkles and most likely will not improve the scar's appearance.

Richard P. Rand, MD, FACS (retired) · Answer

I personally have not seen fillers used for this purpose but I can see it as valuable if there are depressions that would look better if filled in. These injections would need to be repeated and the scar may restrict the ability to plump up the area, but it might be worth a try. Can't hurt....

Do You Recommend Fillers to Smooth out an Old Burn Scar?

Answers (6)

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