Would I benefit from Juvederm volite skin booster for skin texture and deep scarring? Should I consider other options? (photos)

Question

Treatments done in last 12 months: 5x subcision, 5x fractional CO2 laser, 5x TCA cross, 2x bellafill, 1x punch excision, 1x RF microneedling, 1x microneedling w/ PRP, 1x Q-switch laser. Most recent was Halo/BBL - 1st session in Jul 2022, 2nd in Aug 2022. I know it’s still too early but should I get Juvederm Volite SKIN BOOSTER for skin texture and deep scarring as I don’t see much improvement there, looking for a superficial treatment as I have a family wedding to attend early next year.

Jason Emer, MD · Answer

"​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. ​"

Milan Shah, MD · Answer

Juvederm Volite can improve skin texture, but it’s not specifically designed for deep scarring. For deep scarring, options like laser resurfacing or microneedling with PRP might be more effective. Consult a healthcare professional to discuss your specific concerns and determine the most suitable treatment for your skin goals.

Adam P. Beck, MD · Answer

You should consider PDO threads under the acne scarred areas. The threads will help lift the scar and building collagen.

Camille Cash, MD · Answer

There are a few options you can consider to address deep scarring.  Morpheus8 is one option that is the least invasive.  I encourage you to consider three treatment sessions for maximum benefits.  Erbium laser would be another option.  This is a more intensive treatment and requires anesthesia.  Visit with a board certified plastic surgeon near you to learn more.

Robert T. Buchanan, MD (retired) · Answer

You have fallen into the modern trap of use of all the “hot’ treatments to do something that is best done ‘old school” simply. You didn’t mention whether you are using tretinoin. This is the first and main thing you need. Although it has a 2 week recovery, the only thing that will “get you to the wedding on time” is an old fashioned resurfacing laser. Of the things you have had, I would recommend only the Fraxel or micro needling, but they need tretinoin first and take time, and since they didn’t work that well already, you are out of time in relation to the wedding. Make sure whoever you see is an expert in skin care and rejuvenation.

Would I benefit from Juvederm volite skin booster for skin texture and deep scarring? Should I consider other options? (photos)

Answers (5)

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