Question: What are some techniques used for improving acne scarring?
Answer: There are multiple different techniques that can be employed to try to improve the appearance of acne scarring from as simple as filling the area with an injectable filler to subcision with a needle in conjunction with some filler material to fat grafting or more aggressive treatments, such as laser resurfacing. My personal gold standard at this time is actually a ProFractional Laser by Sciton, which is a fractionated Erbium laser where tunnels are vaporized into the skin and this creates a large amount of new collagen deposition into the dermis which in turn remodels the overlying epidermis and can create a very significant improvement in the appearance of acne scarring. The downside is that I recommend three treatments spaced at least a month apart, so the overall downtime can be very significant since each treatment requires about four or five days where the skin is healing. A very conservative approach, such as microdermabrasion or superficial or even medium-depth chemical peels, does very little for acne scarring and I recommend that patients avoid these techniques due to the fact that they are really not going to get any visible improvement in their acne scarring unless a more aggressive approach is undertaken.
Question: How long should a scar mature before performing scar revision?
Answer: The answer to that question really depends on the person’s age as children can have immature scars for years and many will take until they go through puberty before the scar matures, whereas in adults it is usually six to twelve months and the scar is essentially mature.
Question: How does Juvederm compare to Restylane for lip augmentation?
Answer: I think both Juvederm and Restylane are excellent choices for lip augmentation and I really do not have a strong preference for one over the other although I will say that the Juvederm seems to be slightly smoother and tends to be more natural feeling faster than the Restylane does; however, both are great alternatives, so I would not necessarily sway you away for Restylane.
Question: It’s been a full day since I had Restylane injected into my lips and I now have duck lips and severe bruising. What can I do?
Answer: Since it has only been one full day, I would not get too concerned as this occasionally happens with lip injections. The bruising is going to add more swelling and the swelling is going to give you more of a duck lip type look and you, therefore, just need to be patient and allow the swelling and bruising to subside. You can accelerate the process by keeping your head elevated, staying active, and intermittently icing the lips, but it may take about a week for all the swelling and bruising to go away and at that point, your lips should look like they did immediately after the injection. Hopefully, this will give you the look that you desire but, if it does not, Restylane is reversible with the injection of hyaluronidase.