Restylane Silk in scars. Should I have gone for a different filler?

Question

I had retylane silk injected into my scars on my cheeks. Was Resty silk a good choice for scars in that area? I was reading up and it seems they used it most on lips and the mouth area. But my injector said she thought the silk would be better since it didn't have to go that deep. Also how long do you think it will last there. I have bumps right now & some bruising. Should I have gone for a different filler? Thanks

Young R. Cho, MD, PhD · Answer

Thank you for your question.  I use Restylane Silk, Restylane, and Juvederm Ultra with some frequency to help with depressed scars.  As the volume needed is typically small, I am usually combining this with other areas of injection.  Technique is far more important than choice of filler.  I often encourage patients to follow along during the injection with a hand held mirror (they don't have to watch the needle go in, but the immediate results that follow each small injection).  It gives them a sense of the degree of change.  For stubborn scars, I notice that they improve with each session.  If you are not happy with the result, I would recommend that you visit with a board certified plastic surgeon or dermatologist who has a high volume injection practice and who also has other non-invasive options available to address scars.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

It is difficult to comment without seeing the severity and degree of your acne scarring.  Restylane silk is best for fine lines so it doesn't matter where those fine lines are.   All doctors have varying preferences when it comes to what type of filler they use for different issues/areas of the face.  The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr Schwartz

Ruth L. Hillelson, MD, FACS · Answer

Restylane silk is for fine lines.  So it doesn't matter where those fine lines are. You shouldn't have bumps after unless these are from the bruising. The more superficial the injection., the greater the risk of bruising. If the lines had some depth then perhaps restylane would have been effective. Both last up to eight or nine months -- but with a boost at about four months! That is the fine print.

Jason Emer, MD · Answer

I find that bellafill is the best for acne scarring, silk and other HA fillers are fine but do not last or produce long term results.  You likely need a combination of lasers, fillers and needling.  Please see an expert who does a lot of acne scarring.  Best, Dr. Emer.

Vijay K. Bindingnavele, MD, FACS · Answer

If done properly, restylane silk is a good choice.  Fat is another.  Lumpiness 
is always a risk and you should return to the plastic surgeon so s/he can assess 
it to see if it needs to be massaged.  Of course, before the filler is injected 
the scar needs to be released.  That is actually the more important part.  The 
release with a blade, needle or other specialized instrument releases the scar 
and the filler keeps it from rescarring.

Restylane Silk in scars. Should I have gone for a different filler?

Answers (8)

Answer: Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

Answer: Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

Answer: Silk is a good choice

Answer: Silk is a good choice

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Everything you need to know about Restylane Silk

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Restylane Silk in scars. Should I have gone for a different filler?

Answers (8)

Answer: Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

Answer: Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

Answer: Silk is a good choice

Answer: Silk is a good choice

Browse related questions

Recommended reading

Everything you need to know about Restylane Silk

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