Would you recommend a subcision and filler for these acne scars? (Photo)

Question

I have been bothered by these acne scars for a long time now. Could you please provide advice on whether you think a subcision and filler would be a suitable treatment for these scars? If not what treatment would you recommend? I am located in Toronto and I would appreciate advice regarding local specialists with reasonable prices to whom I could reach out. Thank you!

Nelson Lee Novick, MD · Answer

Subcision, which has been around and I have been routinely performing, is an excellent, simple, safe and effective technique for elevating and smoothing all kinds of indented (depressed, atrophic) scars, most especially boxcar and rolling scars. It can be performed with or without filler. Finding an experienced doctor may be harder with extensive experience with this technique, since subcision has been pushed aside by the intense marketing for all kinds of expensive, faddish, "bells and whistles" fraxel lasers and RF devices. You would be wise to seek out an experienced, board certified cosmetic dermatologist in your with extensive experience in subcision. Hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Would you recommend a subcision and filler for these acne scars? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Subcision

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

Would you recommend a subcision and filler for these acne scars? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Subcision

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