What's best for acne scar fillers, Bellafill vs Silikon 1000? Could it cause an embolism for shallow filler technique? (photos)

Bellafill is FDA approved for the treatment of acne scars.  In addition to it ability to fill via collagen, Bellafill also stimulates collagen production over time to act as a very long lasting filler.

KRae76  Thank you for your questions and photographs.  An in person consultation is necessary to determine your best course of action.Acne scar treatments  requires multiple modalities.  all of the fillers that you have utilized in the past are short term fillers; Bellafill is the only long lasting filler FDA approved for acne scar treatment. Your choice of the "FILLER" (your cosmetic surgeon) is as important as the Filler ( Bellafill) that you choose.  The risk of embolism is  minimal.  Combination treatments may include:Venus VivaPRPBellafillSubcisionMIxto Co2 laserRenuvion J PlasmaALMIBest of Luck  #DRB

"​Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:
- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars.
- Subcision for depressed, tethered scars.
- Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars.
- Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring.
- TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.

All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. ​"

Hello! We do not use Silikon 1000 in our skin clinic.  Bellafill is an FDA approved permanent injecatble filler for the correction of nasolabial folds, or smile lines. Remember, Bellafill is a non-resorbable dermal filler, so does not typically need multiple infections like the other fillers out there. Bellafill is also approved for the correction of moderate to severe facial acne scars on the cheeks in patients over the age of 21 years. It is a wonderful product and I would suggest consulting an expert in your area. Ask to see before and afters of their clients. Best of Luck 

Even with shallow depths, there is a very tiny chance of arterial occlusion. The filler of choice will depend on the skill sets and comfort level of your dermatologist or plastic surgeon. In the context of Bellafill, Dr Steve Weiner in FL is one of the best for this filler in the States. Your scars will require more than just filling- subcsion ideally needed during or pre filler. 
Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. 
For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, PRP and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars. 
The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best, 
Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.