Do I need more Volbella to smooth out my atrophic acne scars? (Photos)

Acne scars need a combination approach for improvement. For the best results, one should target the acne scar type. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision. Subcision for depressed tethered scars. Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring. Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision. All lasers are combined with microneedling and PRP to get even better results and improve healing times. The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician. It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome. Scars cannot be cured and will need life-long treatments to maintain and build on the results. Best, Dr. Emer.

Radiofrequency with microneedling (infini) and bellafill are great options for acne scars that are amenable to them. A next step may involve more aggressive skin resurfacing using a CO2 laser or even dermabrasion. Consult with an experienced facial plastic surgeon to explore your options!

Yes, you will benefit from more surgical subcision as well as TCA CROSS to treat the deeper scars. RF can also be used, but I prefer angled CO2 laser. All in the one session. Atrophic scars can be treated with HA filler if needed. Add Pico laser (NOT FOR SCARS) but to improve skin texture. 3-4 sessions should get you there. All the best, Dr Davin S. Lim