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Persistent facial swelling after acne subcision?

albsure1Dec 30, 2015
38 years old man, underwent bilateral acne scar subcision using Nokor needle. There is significant improvement in acne scars, however after about 6 months, there are 2 cyst like non-tender, non-erythematous soft swelling on both buccal areas with the size of 4x4 cm. Looks like some fluid filled cysts, however aspiration does not return any fluid or blood. No US or MRI is done. 1. What would be the diagnosis? 2. What should be the next step? 3. What would be the treatment?

Answers (4)

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Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Jan 2, 2016
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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Jan 5, 2016
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Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Nov 17, 2016
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Dr. Davin Lim, MBBS, FACD - Account Suspended
Specialist Dermatologist
Answered on Jan 5, 2016
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It depends on whether your subcision procedure is fairly mild or more intense, but in general the bruising from it lasts only a few days. Getting it done friday and expecting to look 100% normal on monday is possible, but if you have significant scarring they may still be some light bruising...

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Hi Bacoas.  The dermal filler we use (Restylane or Perlane) typically lasts 6-9 months in acne scars.  The goal though is to create a longer term benefit (lift) to the scars over a series of treatments.  For your situation, it looks like 1 CC would be enough and you would expect...

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