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

Question

Over the past three years I've been using the multiple method approach to treating my acne scars with subcision, Infini RF, and TCA Cross and have seen steady improvement. There are some areas on my face that have not responded well and it has led me to believe that it is caused by a combination of tethering and collagen/fat loss. I'm confused as to which filler is best because I hear one being better over another. I also have a very active lifestyle and metabolism so I'm sure that plays a role.

Camille Cash, MD · Answer

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.

Jason Emer, MD · Answer

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.

Mary C. DuPont, MD, FPMRS, FACS · Answer

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.

Luis Mario Salazar, MD · Answer

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_

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

Answers (4)

Answer: Fillers is one single step of the treatment

Answer: Fillers is one single step of the treatment

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

Answers (4)

Answer: Fillers is one single step of the treatment

Answer: Fillers is one single step of the treatment

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Recommended reading

Everything you need to know about Dermal Fillers

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