Which filler is best for volume loss due to acne scarring? (photos)

I feel we have responded to you many times, this is not a volume loss problem this is textural and you need lasers, tea cross and punch excisions, possibly some Bellafill. you NEED at home rolling and cosmelan peels. you will never get full cure but can get improvement when done right, this will take many many treatments by an expert.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly from emeragecosmetics.com) should be started now.  visit emeragecosmetics.com where we ship medical grade skincare all over the world AND do free virtual skincare consults daily.

if you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream. see emeragecosmetics.com where we do free skincare consults daily and can send you peels and skincare. proceeds go to help BLM and LGBTQ+ non for profit organizations.

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer. 

Hello there! I completely understand your desire to treat former acne scars. There are a lot of great solutions out there, but I prefer a Bellafill treatment for my patients. Bellafill may work better because it's a biostimulant. It will fill the emtpy spaces and give you a fuller appearance. Also, many users have found it lasts longer than 5 years.

Hello. Thanks for sharing your case. It is very important to know acne scarring is a multi discipline treatment into which fillers is just one step. I will always recommend do collagen stimulating fillers who can achieve a better skin quality after progressively. The best ones are Sculptra or Radiesse. Don't forget to go with an expert and set up a plan suited for your needs. Best luck.

Dr Luis Salazar /// @ AestheticSolutions_

The correct treatment for acne scarring is lasers, microneedling and peels. You may look into Morpheus8 treatments. Fillers will not likely give you the improvement you are wanting. Continue to follow the advice of a board certified plastic surgeon or dematologist in your area for proper skin treatments. I know it's hard to be patient, but you should see steady improvement.