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Subcision & Filler, Permanent?

WhiteTigersMay 10, 2013
I have a 1 1/2" flat vertical scar on my left cheek, & am interested in subcision with Restylane. However, while one plastic surgeon said that this will be permanent - scar will float up & heal while Restylane cushions so it won't redepress, so when Restylane dissolves scar will be permanently in place - a couple of other dermatologists have said that repeated Restylane injections will be neccessary. Please advise. Thank you.

Answers (3)

From board-certified doctors and trusted medical professionals
Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Jul 7, 2013
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Dr. Norman Bakshandeh Day, MD, FACS
Board Certified Plastic Surgeon
Answered on May 12, 2013
Answer
Dr. Stephen Weber MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 16, 2013
Answer

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Raffy Karamanoukian, MD, FACS

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce...

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Subcision followed by a filler is normally done at the same time when treating acne scars. There is no advantage, of which I'm aware, of doing them at different times.  

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Raffy Karamanoukian, MD, FACS

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and...

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Sonia Badreshia-Bansal, MD

Thank you for your question. Depending on which Fraxel was done and the aggressiveness, will determine your initiation to normal routines and sun exposure. If you have any redness, crusting, peeling, or abnormal residual skin response from the laser, I would absolutely advise against direct sun...

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Raffy Karamanoukian, MD, FACS

These are very difficult scars to improve.  Subcision is a good procedure, but also has risks as the scars are within the range of the facial nerve.

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