I was left with these lines as well as many acne scars after taking Accutane for 5 months over a year ago. I have been getting DermaPen procedures by a plastic surgeon (for the acne scars) and he suggested that a mini facelift could get rid of them, but I am very young for this. Injecting Voluma filler into my cheeks so that the skin doesn't fold as much was another idea he had. Does anyone have any comments on whether these procedures would work or not, or any better solutions? Thanks!
October 6, 2014
Answer: Smile lines and acne scars I would recommend Botox or Dysport (or Xeomin) for your crow's feet. Your cheek wrinkle is actually an expression dimple, that could be filled with a hyaluronic acid filler. I prefer Juvederm or Perlane for filling a dimple b/c Voluma is very thick and may be more likely to lump up when placed in the dermis to fill a dimple. Voluma is intended to be placed deep to periosteum and does better in that location rather than higher up in skin or subcutaneous. While the other fillers do not last as long, they will give a natural result with lower risk of lumping. In addition, I specialize in acne scar treatments. While Dermapen (which I have at my practice) is helpful for acne scars it needs to be repeated frequently and rarely compares in efficacy to radiofrequency with needles or the most efficacious (in my opinion) for moderate to severe facial acne scars - treatment with minor surgical subcision followed by fractionated laser resurfacing done in one treatment. I recommend you see a dermatologic laser surgeon for this treatment.
Helpful
October 6, 2014
Answer: Smile lines and acne scars I would recommend Botox or Dysport (or Xeomin) for your crow's feet. Your cheek wrinkle is actually an expression dimple, that could be filled with a hyaluronic acid filler. I prefer Juvederm or Perlane for filling a dimple b/c Voluma is very thick and may be more likely to lump up when placed in the dermis to fill a dimple. Voluma is intended to be placed deep to periosteum and does better in that location rather than higher up in skin or subcutaneous. While the other fillers do not last as long, they will give a natural result with lower risk of lumping. In addition, I specialize in acne scar treatments. While Dermapen (which I have at my practice) is helpful for acne scars it needs to be repeated frequently and rarely compares in efficacy to radiofrequency with needles or the most efficacious (in my opinion) for moderate to severe facial acne scars - treatment with minor surgical subcision followed by fractionated laser resurfacing done in one treatment. I recommend you see a dermatologic laser surgeon for this treatment.
Helpful
October 6, 2014
Answer: Facial lines I do not think the solution is dermapen for lines; if you notice the lines are formed when you smile, then the lines are caused by the movement of the skin. Think botox would be the best option for improvement. I do not think the lift is a solution too.
Helpful
October 6, 2014
Answer: Facial lines I do not think the solution is dermapen for lines; if you notice the lines are formed when you smile, then the lines are caused by the movement of the skin. Think botox would be the best option for improvement. I do not think the lift is a solution too.
Helpful
