Hi Dr Lam,
I have experienced a fair amount of acne scars on my cheeks which are quite noticeable and resultant loss of fat which appears to accentuate the scars. The scars are (not ice pick) longer and have left a reasonable depression of the surface of the skin.
I have been to see a few dermatologists who recommend the Erbium fraxal laser and after 4 sessions don't believe there are any real benefits. The most recent Dermatologist said I need to have the fat replaced or built up in my cheeks to fill the areas that have been lost, leading to a possible dermal filler or fat transfer. From what I have seen there are bad side affects of permanent fillers and people are happy to sell short term fillers which last for a year. Additionally the fat transfer appears to have very mixed results.
I personally think a fat transfer is a better option, however I don't really know what the success probability is like.
Could you please let me know your thoughts on fat transfers to fill in acne scars in large cheek areas?