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)
From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
January 2, 2016
Answer: Subcision and Swelling
1 person found this helpful
Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
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...
It is best to not be smoking if you have subcision since you will heal more quickly and stimulate more collagen. Botox can be done at any time with regards to smoking.
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...
