Was my dermatologist fraudulent?
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Doctor Answers 8
Biostimulatory Fillers Can Be Useful In Acne Scar Treatment
If rolling scars, for example, predominate, then the use of subcision, to break up the tethering scar tissue that is pulling the skin down, is a reasonable first step, which may then be followed by the use of a biostimulatory filler (my preference would be more robust fillers than plain Juvederm, e.g. Radiesse Plus or Voluma XC) that would provide immediate lift and improvement and stimulate new, native collagen and elastic fiber synthesis (neocollagenesis, neoelastogenesis) over the next four to six weeks.
Boxcar scars and certainly pit scars because of their anatomy are very unlikely to respond particularly well to fillers, although some improvement can be obtained in the former following subcision.
Since trust in the physician is an essential element of treatment, I would strongly suggest that you look for another board certified aesthetic physician with experience and expertise in all forms of acne scar treatments.
Best of luck to you.
your doctor was being nice to refund your money.
Fillers and Acne Scarring
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Juvederm for acne scars
Offering your money back is just being nice - they probably were equally disappointed that you didn't get a better result. But it certainly isn't fraudulent.
Acne Scars and Filling indentations
There are many different fillers for acne scars such as Bellafill, Restylane, or Juvederm. Juvederm is an immediate filler for these scars. It is best to consult a board certified dermatologist with expertise in acne scars for the best cosmetic results. Lasers may also be effective to treat these scars such as Fraxel or eMatrix. Best, Dr. Green
Was my dermatologist fraudulent?
This is a tricky question to answer but I will do my best. Acne scars are difficult to treat in general. Some people use fat grafting, with the thought process that the stem cells in the fat will help to "regenerate" the skin and improve the look and contour. Some will use fillers such as hyaluronic acid, aka Juvederm. It really depends on what the doctor was trying to achieve. If you had a lot of depressions and pits then the the filler may help with those immediately. The other concept is that similar to fat, you are using the filler to try and improve the overall skin quality and contour. Juvederm, will over time help your body to create new collagen and potentially improve the quality of the skin. This process will take months though. That is why we see some patients who get fillers every 6 months, and then after a year or two find they need less product, or sometimes no more product. So I think everything she told you was accurate. I can't vouch for the behind the scenes stuff though. I will say, in my practice, I don't always open the product right in front of the patient, but would always be more than happy to if there was a patient who was skeptical about what they were receiving. I think the fact that she refunded you immediately likely means she was being honest and just didn't want a dissatisfied customer. I am not sure I would report her unless you have other evidence or testimonials from other patients about inappropriate behavior.
Hope this helps
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