What’s the Best Dermal Filler for Acne Scars?
Doctor Answers 22
Acne scars - Make it plump and make it last
There are so many fillers these days that it is often difficult to know which is best. Acne scars are a specialized treatment area and thus the choice is often times easier.
The two basic requirements should be that the filler plumps the skin well enough to correct the scar and second that it lasts long enough for prolonged correction.
My personal favorite is Radiesse (Calcium hydroxlapetite). This filler plumps, provides immediate correction and last approximately 9-16 months.
Microroplet silicone is another excellent alternative. This is a specialized technique performed by only a limited number of physicians. It is a permanent filler and must be used with care.
ONE IMPORTANT NOTE ABOUT ACNE SCARS: there are many different types of acne scars (ice pick, box car, rolling type scars), and they must be approached using different techniques and combinations of techniques including lasers, acid peels and then fillers as a final therapy.
Dermal fillers and laser treatments
Fillers can improve the appearance of acne scars by partially lifting the depressed scar but their effect is temporary. The results can last from between a few months to a year using fillers such as Restylane, Juvederm, and Perlane, etc. However, laser treatments such as Pixel, Smoothbeam, Erbium or Fraxel can dramatically and permanently reduce the appearance of acne scars with improvement of overall tone.
There are many options for filling in scars
Fillers are a temporary way to fill in depressed scars. Restylane can last about 6-9months, and radiesse 1-2 years. Fat can be another option to fill in scars and can last many years like 10 years give or take a few years when done right.
In my experience, using temporary fillers gives one only modest results and most people are left desiring more improvement. Other ways to lift the scar include subscision technique where you use a needle to lift the scar up so that it sits level with the plane of the rest of the skin. This can be done in conjunction with laser resurfacing. Other ways to lift up the scar is to use biopsy instruments to incise around the depressed scar and this is then lifted up into the right plane. Another way is to cut the scar out and follow this with resurfacing.
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Dermal Filler for Acne Scars
If your scars are broad and more shallow I often treat them successfully with releasing the scar from below with a long needle( called subcision) and them filling the space underneath with either Sculptra or your own fat.
"Peeling" such scars are not the best option.
Dermal Fillers for Acne Scars
Which demal filler that is selected depends on the type of acne scar that is being treated. For atrophic scars we use saline injections or a hyaluronic acid filler normally. If there is deeper tissue loss sometimes a volume filler like Sculptra or Radiesse is used. Fillers are usually not helpful for thicker scars and ice pick scars.
Acne Scar Treatment
Bellafill is FDA approved for acne scar treatment
Bellafill is the only current dermal filler FDA approved for acne scars. The scars should be relatively shallow and able to smooth out when pulled manually. Other dermal fillers can be used off-label to treat certain types of acne scars, but the effects are temporary. Generally, a combination treatment customized to your particular needs is best for treating acne scars, as there are multiple different types of acne scars as well as discoloration that can go along with them. Laser resurfacing, microneedling, and chemical peels are just a few of the various treatment options available for dealing with acne scars. The best thing to do is to see a board-certified dermatologist for an in-person consultation and evaluation to determine the best course of action for you.
Filing in Acne Scars with Restylane, Juvederm, Belotero, Sculptra and Lasers
Best Filler for Scars
Always be sure to consult with a board certified dermatologist for best results for your condition.