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57 year old female with very pale skin. Collagen stimulation not working for me - what are other options?

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Powerful267873Aug 28, 2025

I’ve had Sylfirm, Ellacore and Sculptra and none of it has shown any improvement. Could I just be a person that doesn’t respond to collagen stimulation ? I’m a 57 year old female with very pale skin.

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Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 119 Reviews
Answered on Aug 30, 2025
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Stefan Mark Szczerba, MD

Yes, my experience with Ellacor has been pretty good with "off label" areas. Usually need to be a bit more conservative on areas like the nose but more aggressive on areas like the neck. I would circle back to that presentation and see how many sessions of Ellacor were required. Best Wishes!!

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Stefan Mark Szczerba, MD

I have not heard of this. That would definitely be an "off label" use of the device. That said, I recently used Ellacor on a patient who did not remember when she had fillers and the hyaluronic acid literally started pouring out from all the skin cores and the patient did quite well. I hope...

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Jacob Tower, MD

Hello, hope you are well. I perform both of these procedures frequently, sometimes together. The short answer is 'no', Ellacor is not a substitute for a lip lift. The amount of skin removed is nowhere near the amount required to bring about a comparable result. A surgical lip lift also allows...

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Nelson Lee Novick, MD

I'm not quite sure why you are jumping to a minimally invasive process that risks leaving marks and tracks in the skin that may be difficult to treat (check out some of the complaints by Realselfers who have undergone the procedure), and engenders post-surgical downtime, rather than first...

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Stefan Mark Szczerba, MD

Wow that's interesting! I don't think I would Ellacor. Instead I would wait unfortunately about a year. I think the Ellacor is more for skin laxity and not to change contours from deeper structures. After a year, I think you will be as optimal from the IV infiltration and then you should...

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Stefan Mark Szczerba, MD

Ellacor is FDA approved for face so any other areas can be treated, but you would be treating them "off label." When you do treatments "off label" it is ok, it just means the FDA didn't look at the device to treat that area. We've done neck and submental areas with Ellacor many times. The...

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