Can Juvederm Voluma make my acne scar look worse?

Not all acne scars can be treated with Voluma. Without assessing you in person, impossible to say if this is the case with you but given your description, I would say "yes". Go ahead and have the Voluma dissolved. So sorry that you've had a bad experience. Kindly,Kouros Azar

voluma wouldn't be my first choice for filling acne scars and you would have to pick the right scar to treat with fillers. I suggest you see an expert that specializes in acne scarring treatment.  Best, Dr. Emer.

Some acne scars are tethered or bound down to the underlying tissue so much that fillers don't work. When evaluating my patients with acne scars, I stretch the skin out and see if the scar lifts, and if it doesn't I know that if I want to do a filler, I would at least need to do subcision to break up those attachments. Otherwise the filler will not lift the scar and it will spread out to the sides of the scar and lift the surrounding scar which creates a greater height difference between the mountain of the normal adjacent skin and the valley of the scar's depression, making the scar look worse.Acne scars that don't respond well to this test, are better treated by multiple Fraxel laser resurfacing treatments or a solitary Fraxel Repair laser resurfacing.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical
needs.