I have been advised by one clinic to get Belotero filler superficially injected for my acne scars, and another has recommended Juvederm injected deeper into the skin. Which would be likely time have better results? (Already had several lasers and microneedling) Thanks
February 2, 2020
Answer: Subcision Works Well For Elevating Indented Acne Scars First, let me say that I am hardly surprised that you were disappointed with your laser treatments, as I have been cautioning readers for years that these supposedly relatively expensive, "next big thing" bells and whistles are far more backed by device manufacturer supported marketing hype than hard science. Although microneedling, properly performed by a professional, can be helpful for acne scars, it has been my over twenty years of experience with it that it is best reserved, as a final step, for treating residual color and textural problems after other more effective treatments have been employed. Subcision, which I have been performing for over twenty-five years, works well for elevating and smoothing acne scars. Although I typically supplement subcision with the use of a filler (primarlly for its ability to help promote new, native collagen and elastic fiber synthesis, rather than its much more temporary function to plump and elevate), I would suggest great caution in its use in this glabella and mid-forehead region, since this highly vascular region poses an increased risk for blood vessel occlusion. If a filler is used, I would suggest a very superficial injection technique and Belotero Balance would be a reasonable choice for this. Absolutely make sure that you are consulting with an experienced aesthetic physician and acne scar specialist. Best of luck.
Helpful
February 2, 2020
Answer: Subcision Works Well For Elevating Indented Acne Scars First, let me say that I am hardly surprised that you were disappointed with your laser treatments, as I have been cautioning readers for years that these supposedly relatively expensive, "next big thing" bells and whistles are far more backed by device manufacturer supported marketing hype than hard science. Although microneedling, properly performed by a professional, can be helpful for acne scars, it has been my over twenty years of experience with it that it is best reserved, as a final step, for treating residual color and textural problems after other more effective treatments have been employed. Subcision, which I have been performing for over twenty-five years, works well for elevating and smoothing acne scars. Although I typically supplement subcision with the use of a filler (primarlly for its ability to help promote new, native collagen and elastic fiber synthesis, rather than its much more temporary function to plump and elevate), I would suggest great caution in its use in this glabella and mid-forehead region, since this highly vascular region poses an increased risk for blood vessel occlusion. If a filler is used, I would suggest a very superficial injection technique and Belotero Balance would be a reasonable choice for this. Absolutely make sure that you are consulting with an experienced aesthetic physician and acne scar specialist. Best of luck.
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December 16, 2022
Answer: Acne scar Sorry to hear of your problem.There is little research on this.If your scars are tethered subcision with a cannula helps.I also use cross TCA on these scars.As to filler as long as it lifts and fills the scar it helps Superficial fillers tend to be softer and show less but last a shorter time. Collagen stimulation using dilute PLLA is interesting and I've been getting results with this .
Helpful
December 16, 2022
Answer: Acne scar Sorry to hear of your problem.There is little research on this.If your scars are tethered subcision with a cannula helps.I also use cross TCA on these scars.As to filler as long as it lifts and fills the scar it helps Superficial fillers tend to be softer and show less but last a shorter time. Collagen stimulation using dilute PLLA is interesting and I've been getting results with this .
Helpful
