Subcision with dermal fillers can effectively treat depressed scars, such as rolling and shallow boxcar scars, by breaking up the scar tissue and restoring lost volume to the area. During the subcision procedure, the needle is used to break up the fibrotic strands of scar tissue that tether the top layers of skin to the underlying tissue. Once the fibrotic bands of scar tissue are released, the skin is encouraged to produce new collagen in the treated area and heal with a smoother, more even skin texture. When subcision is performed with dermal fillers, the filler is then injected directly into the acne scar to replace lost volume and provide an even smoother skin surface. Dr. Green often performs subcision with Sculptra or hyaluronic acid dermal fillers to provide optimal cosmetic results with zero downtime. Dr. Green’s unique technique of subcison and injection will improve the appearance of scars even after one only treatment. Depending on the type and severity of your acne scars, Dr. Green may pair dermal filler treatment with a laser resurfacing treatment to provide you with the best cosmetic results.
Sculptra is a unique dermal filler in that it is composed of a substance called poly-L-lactic acid, which stimulates new collagen production in the treatment area once injected. Over time, as collagen is produced, the skin texture becomes smoother, reducing the appearance of depressed acne scars. Most patients require a short series of three Sculptra treatment sessions to achieve optimal results. It takes 4 to 6 weeks to see the effect of each Sculptra treatment, and results last up to two years. Most patients engage in regular follow-up treatment sessions to maintain ideal results. Dermal fillers such as Juvederm and Restylane are composed of hyaluronic acid, a naturally occurring substance in the skin that contributes to hydration and a youthful appearance. These dermal fillers are commonly used to restore the lost volume associated with acne scars for a smoother-looking appearance. Results with hyaluronic acid fillers are immediate and, depending on the type of HA filler used and the patient’s metabolism, can last anywhere between six to twelve months.
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